Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,813.69 / $3,813.69	Facility		$1,400.00	$3,813.69	$3,813.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,440.56 / $3,813.69 / $4,581.07	Professional		$3,440.56	$3,813.69	$4,581.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,284.97 / $5,020.06 / $5,469.43	Facility		$4,284.97	$5,020.06	$5,469.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,861.72 / $4,861.72 / $4,861.72	Professional		$4,861.72	$4,861.72	$4,861.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,594.63 / $4,594.63 / $4,594.63	Facility		$4,594.63	$4,594.63	$4,594.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,835.11 / $6,077.14 / $19,052.21	Professional		$3,835.11	$6,077.14	$19,052.21
United Facility/Professional Professional Modifier Low / Median / High Price $3,213.79 / $4,241.26 / $6,482.29	Professional		$3,213.79	$4,241.26	$6,482.29