Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,084.27 / $7,735.20	Facility		$1,400.00	$5,084.27	$7,735.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,206.56 / $5,084.27 / $6,059.65	Professional		$4,206.56	$5,084.27	$6,059.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,222.83 / $5,990.35 / $6,526.58	Facility		$5,222.83	$5,990.35	$6,526.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,976.40 / $5,801.40 / $5,801.40	Professional		$2,976.40	$5,801.40	$5,801.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,597.96 / $5,597.96 / $5,597.96	Facility		$5,597.96	$5,597.96	$5,597.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,374.14 / $6,721.43 / $14,222.89	Professional		$4,374.14	$6,721.43	$14,222.89
United Facility/Professional Professional Modifier Low / Median / High Price $3,912.01 / $5,409.31 / $8,024.42	Professional		$3,912.01	$5,409.31	$8,024.42