Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,477.85 / $4,215.78	Facility		$1,400.00	$2,477.85	$4,215.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,477.85 / $2,713.20 / $4,488.95	Professional		$2,477.85	$2,713.20	$4,488.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,793.93 / $3,264.82 / $3,557.06	Facility		$2,793.93	$3,264.82	$3,557.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,622.03 / $3,161.83 / $3,161.83	Professional		$1,622.03	$3,161.83	$3,161.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,995.12 / $2,995.12 / $2,995.12	Facility		$2,995.12	$2,995.12	$2,995.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,508.89 / $3,789.80 / $8,124.11	Professional		$2,508.89	$3,789.80	$8,124.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.74 / $2,966.62 / $4,215.78	Professional		$1,961.74	$2,966.62	$4,215.78