Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,813.59 / $7,376.70	Facility		$1,400.00	$4,813.59	$7,376.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,967.52 / $4,813.59 / $5,761.41	Professional		$3,967.52	$4,813.59	$5,761.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,998.43 / $5,712.72 / $6,224.09	Facility		$4,998.43	$5,712.72	$6,224.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,838.60 / $5,532.53 / $5,532.53	Professional		$2,838.60	$5,532.53	$5,532.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,349.05 / $5,349.05 / $5,349.05	Facility		$5,349.05	$5,349.05	$5,349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,936.02 / $6,454.62 / $13,439.37	Professional		$3,936.02	$6,454.62	$13,439.37
United Facility/Professional Professional Modifier Low / Median / High Price $3,563.06 / $5,011.20 / $7,628.26	Professional		$3,563.06	$5,011.20	$7,628.26