Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,267.13 / $2,267.13	Facility		$1,400.00	$2,267.13	$2,267.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,835.55 / $2,217.44 / $2,587.29	Professional		$1,835.55	$2,217.44	$2,587.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,564.33 / $2,989.38 / $3,256.98	Facility		$2,564.33	$2,989.38	$3,256.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,895.10 / $2,895.10 / $2,895.10	Professional		$2,895.10	$2,895.10	$2,895.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,747.63 / $2,747.63 / $2,747.63	Facility		$2,747.63	$2,747.63	$2,747.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,309.64 / $3,383.40 / $12,915.98	Professional		$2,309.64	$3,383.40	$12,915.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,869.74 / $3,490.19 / $5,676.91	Professional		$1,869.74	$3,490.19	$5,676.91