Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,919.60 / $5,975.00 / $7,170.00	Facility		$3,919.60	$5,975.00	$7,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,585.00 / $3,919.60 / $4,063.00	Professional		$3,585.00	$3,919.60	$4,063.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,258.00 / $7,170.00 / $8,365.00	Facility		$5,258.00	$7,170.00	$8,365.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,736.00 / $5,736.00 / $6,453.00	Professional		$5,736.00	$5,736.00	$6,453.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,883.75 / $5,736.00 / $14,338.81	Facility		$3,883.75	$5,736.00	$14,338.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,492.49 / $6,865.61 / $23,039.60	Professional		$5,492.49	$6,865.61	$23,039.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,390.00 / $6,453.00	Professional		$2,007.60	$2,390.00	$6,453.00