Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,461.78 / $3,461.78	Facility		$1,400.00	$3,461.78	$3,461.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,122.52 / $3,461.78 / $4,210.30	Professional		$3,122.52	$3,461.78	$4,210.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,890.22 / $4,558.07 / $4,966.08	Facility		$3,890.22	$4,558.07	$4,966.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,414.30 / $4,414.30 / $4,414.30	Professional		$4,414.30	$4,414.30	$4,414.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,171.91 / $4,171.91 / $4,171.91	Facility		$4,171.91	$4,171.91	$4,171.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,481.26 / $5,517.88 / $20,200.25	Professional		$3,481.26	$5,517.88	$20,200.25
United Facility/Professional Professional Modifier Low / Median / High Price $3,043.97 / $4,215.10 / $6,052.56	Professional		$3,043.97	$4,215.10	$6,052.56