Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,719.18 / $4,733.72 / $4,787.13	Facility		$4,719.18	$4,733.72	$4,787.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,733.72	Professional		$4,686.85	$4,686.85	$4,733.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $7,030.28 / $7,030.28	Facility		$4,686.85	$7,030.28	$7,030.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,421.56 / $4,686.85 / $4,687.66	Facility		$4,421.56	$4,686.85	$4,687.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $8,643.82	Professional		$4,686.85	$4,686.85	$8,643.82
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $7,041.97	Professional		$4,686.85	$4,686.85	$7,041.97