Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,106.15 / $3,106.15	Facility		$1,400.00	$3,106.15	$3,106.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,832.10 / $3,106.15 / $3,756.62	Professional		$2,832.10	$3,106.15	$3,756.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,472.85 / $4,040.10 / $4,401.76	Facility		$3,472.85	$4,040.10	$4,401.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,912.67 / $3,912.67 / $3,912.67	Professional		$3,912.67	$3,912.67	$3,912.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,737.35 / $3,737.35 / $3,737.35	Facility		$3,737.35	$3,737.35	$3,737.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,136.00 / $4,890.83 / $16,000.81	Professional		$3,136.00	$4,890.83	$16,000.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.44 / $3,762.24 / $5,273.26	Professional		$2,608.44	$3,762.24	$5,273.26