Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.75 / $2,679.50 / $3,215.40	Facility		$1,757.75	$2,679.50	$3,215.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.70 / $1,757.75 / $1,822.06	Professional		$1,607.70	$1,757.75	$1,822.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,357.96 / $3,215.40 / $3,751.30	Facility		$2,357.96	$3,215.40	$3,751.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,572.32 / $2,572.32 / $2,893.86	Professional		$2,572.32	$2,572.32	$2,893.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,741.68 / $2,572.32 / $6,430.26	Facility		$1,741.68	$2,572.32	$6,430.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,463.13 / $3,078.92 / $10,332.15	Professional		$2,463.13	$3,078.92	$10,332.15
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $750.26 / $1,286.16	Professional		$252.88	$750.26	$1,286.16