Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,599.66 / $4,421.58	Facility		$1,400.00	$2,599.66	$4,421.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,599.66 / $2,844.19 / $4,710.14	Professional		$2,599.66	$2,844.19	$4,710.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,929.29 / $3,424.19 / $3,730.71	Facility		$2,929.29	$3,424.19	$3,730.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,701.48 / $3,316.19 / $3,316.19	Professional		$1,701.48	$3,316.19	$3,316.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,140.83 / $3,140.83 / $3,140.83	Facility		$3,140.83	$3,140.83	$3,140.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,629.15 / $3,870.40 / $8,532.04	Professional		$2,629.15	$3,870.40	$8,532.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,987.70 / $5,987.70 / $5,987.70	Facility		$5,987.70	$5,987.70	$5,987.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,060.67 / $3,305.33 / $4,559.76	Professional		$2,060.67	$3,305.33	$4,559.76