Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,088.66 / $3,088.66	Facility		$1,400.00	$3,088.66	$3,088.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,833.28 / $3,088.66 / $3,688.72	Professional		$2,833.28	$3,088.66	$3,688.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,446.59 / $3,992.72 / $4,350.13	Facility		$3,446.59	$3,992.72	$4,350.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,866.78 / $3,866.78 / $3,866.78	Professional		$3,866.78	$3,866.78	$3,866.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,717.18 / $3,717.18 / $3,717.18	Facility		$3,717.18	$3,717.18	$3,717.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.58 / $4,833.49 / $15,464.73	Professional		$3,128.58	$4,833.49	$15,464.73
United Facility/Professional Professional Modifier Low / Median / High Price $2,515.12 / $3,480.11 / $5,155.71	Professional		$2,515.12	$3,480.11	$5,155.71