Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,752.20 / $2,752.20	Facility		$1,400.00	$2,752.20	$2,752.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,368.15 / $2,752.20 / $3,312.74	Professional		$2,368.15	$2,752.20	$3,312.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,114.15 / $3,487.06 / $3,799.20	Facility		$3,114.15	$3,487.06	$3,799.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,377.06 / $3,377.06 / $3,377.06	Professional		$3,377.06	$3,377.06	$3,377.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,332.00 / $3,332.00 / $3,332.00	Facility		$3,332.00	$3,332.00	$3,332.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,849.08 / $3,939.91 / $13,782.45	Professional		$2,849.08	$3,939.91	$13,782.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,216.86 / $3,039.36 / $4,674.39	Professional		$2,216.86	$3,039.36	$4,674.39