Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,018.11 / $3,018.11	Facility		$1,400.00	$3,018.11	$3,018.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,731.23 / $3,018.11 / $3,604.47	Professional		$2,731.23	$3,018.11	$3,604.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,401.89 / $3,975.88 / $4,331.77	Facility		$3,401.89	$3,975.88	$4,331.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,850.46 / $3,850.46 / $3,850.46	Professional		$3,850.46	$3,850.46	$3,850.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,647.35 / $3,647.35 / $3,647.35	Facility		$3,647.35	$3,647.35	$3,647.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,054.14 / $4,813.08 / $17,159.47	Professional		$3,054.14	$4,813.08	$17,159.47
United Facility/Professional Professional Modifier Low / Median / High Price $2,610.25 / $3,910.78 / $5,258.66	Professional		$2,610.25	$3,910.78	$5,258.66