Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,390.31 / $4,390.31	Facility		$1,400.00	$4,390.31	$4,390.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,956.89 / $4,390.31 / $5,411.45	Professional		$3,956.89	$4,390.31	$5,411.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,927.45 / $5,777.30 / $6,294.46	Facility		$4,927.45	$5,777.30	$6,294.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,595.07 / $5,595.07 / $5,595.07	Professional		$5,595.07	$5,595.07	$5,595.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,285.09 / $5,285.09 / $5,285.09	Facility		$5,285.09	$5,285.09	$5,285.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,405.66 / $6,993.85 / $21,894.46	Professional		$4,405.66	$6,993.85	$21,894.46
United Facility/Professional Professional Modifier Low / Median / High Price $3,626.71 / $4,682.42 / $7,607.44	Professional		$3,626.71	$4,682.42	$7,607.44