Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,725.68 / $4,155.00 / $4,986.00	Facility		$2,725.68	$4,155.00	$4,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,493.00 / $2,725.68 / $2,825.40	Professional		$2,493.00	$2,725.68	$2,825.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,656.40 / $4,986.00 / $5,817.00	Facility		$3,656.40	$4,986.00	$5,817.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,988.80 / $3,988.80 / $4,487.39	Professional		$3,988.80	$3,988.80	$4,487.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,700.75 / $3,988.80 / $9,971.17	Facility		$2,700.75	$3,988.80	$9,971.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,819.42 / $4,774.28 / $16,021.68	Professional		$3,819.42	$4,774.28	$16,021.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $1,994.40 / $1,994.40	Facility		$1,994.40	$1,994.40	$1,994.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,662.00 / $4,487.39	Professional		$1,396.08	$1,662.00	$4,487.39