Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,376.60 / $6,692.34	Facility		$1,400.00	$4,376.60	$6,692.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,612.68 / $4,376.60 / $5,243.94	Professional		$3,612.68	$4,376.60	$5,243.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,537.60 / $5,182.72 / $5,646.66	Facility		$4,537.60	$5,182.72	$5,646.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,575.13 / $5,019.25 / $5,019.25	Professional		$2,575.13	$5,019.25	$5,019.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,856.28 / $4,856.28 / $4,856.28	Facility		$4,856.28	$4,856.28	$4,856.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,591.42 / $5,814.81 / $12,174.83	Professional		$3,591.42	$5,814.81	$12,174.83
United Facility/Professional Professional Modifier Low / Median / High Price $3,243.43 / $4,918.27 / $9,327.26	Professional		$3,243.43	$4,918.27	$9,327.26