Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,261.97 / $4,261.97	Facility		$1,400.00	$4,261.97	$4,261.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,842.00 / $4,261.97 / $5,271.75	Professional		$3,842.00	$4,261.97	$5,271.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,785.38 / $5,610.06 / $6,112.25	Facility		$4,785.38	$5,610.06	$6,112.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,433.11 / $5,433.11 / $5,433.11	Professional		$5,433.11	$5,433.11	$5,433.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,132.20 / $5,132.20 / $5,132.20	Facility		$5,132.20	$5,132.20	$5,132.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,279.45 / $6,791.38 / $25,240.69	Professional		$4,279.45	$6,791.38	$25,240.69
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,682.22 / $5,646.06 / $7,545.65	Professional		$3,682.22	$5,646.06	$7,545.65