Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,202.74 / $19,200.00 / $19,200.00	Facility		$3,202.74	$19,200.00	$19,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,202.74 / $5,220.55 / $16,320.00	Professional		$3,202.74	$5,220.55	$16,320.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,538.31 / $3,653.55 / $5,480.33	Facility		$3,538.31	$3,653.55	$5,480.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,653.55 / $3,653.55 / $3,653.55	Professional		$3,653.55	$3,653.55	$3,653.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,731.08 / $16,320.00 / $16,960.00	Facility		$4,731.08	$16,320.00	$16,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $21,504.00	Professional		$16,320.00	$16,960.00	$21,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $12,480.00 / $19,200.00 / $19,200.00	Professional		$12,480.00	$19,200.00	$19,200.00