Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,125.55 / $4,166.81 / $4,538.10	Facility		$4,125.55	$4,166.81	$4,538.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,334.42	Professional		$4,128.02	$4,128.02	$4,334.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $4,540.82 / $6,192.03	Facility		$4,128.02	$4,540.82	$6,192.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,683.21 / $4,128.02 / $9,571.01	Professional		$2,683.21	$4,128.02	$9,571.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.36 / $3,988.33 / $4,128.02	Facility		$3,894.36	$3,988.33	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,283.79	Professional		$4,128.02	$4,128.02	$4,283.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,375.70 / $4,623.38	Professional		$4,128.02	$4,375.70	$4,623.38