Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,007.82 / $3,060.70 / $3,672.84	Facility		$2,007.82	$3,060.70	$3,672.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.42 / $2,007.82 / $2,081.28	Professional		$1,836.42	$2,007.82	$2,081.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,693.42 / $3,672.84 / $4,284.97	Facility		$2,693.42	$3,672.84	$4,284.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,938.27 / $2,938.27 / $3,305.56	Professional		$2,938.27	$2,938.27	$3,305.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,989.45 / $2,938.27 / $7,345.05	Facility		$1,989.45	$2,938.27	$7,345.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,813.77 / $3,517.21 / $11,802.06	Professional		$2,813.77	$3,517.21	$11,802.06
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $812.84 / $1,469.14	Professional		$252.88	$812.84	$1,469.14