Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,374.12 / $2,374.12	Facility		$1,400.00	$2,374.12	$2,374.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,148.12 / $2,374.12 / $2,851.51	Professional		$2,148.12	$2,374.12	$2,851.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,675.30 / $3,127.25 / $3,407.18	Facility		$2,675.30	$3,127.25	$3,407.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,028.61 / $3,028.61 / $3,028.61	Professional		$3,028.61	$3,028.61	$3,028.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,868.14 / $2,868.14 / $2,868.14	Facility		$2,868.14	$2,868.14	$2,868.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.38 / $3,785.76 / $13,402.56	Professional		$2,401.38	$3,785.76	$13,402.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,993.20 / $2,978.54 / $4,003.44	Professional		$1,993.20	$2,978.54	$4,003.44