Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,725.03 / $2,967.86	Facility		$2,698.05	$2,725.03	$2,967.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,832.96	Professional		$2,698.05	$2,698.05	$2,832.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,967.86 / $4,047.08	Facility		$2,698.05	$2,967.86	$4,047.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $6,255.55	Professional		$2,698.05	$2,698.05	$6,255.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.33 / $2,658.13 / $2,698.05	Facility		$2,545.33	$2,658.13	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,799.87	Professional		$2,698.05	$2,698.05	$2,799.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,967.86 / $3,188.47	Professional		$2,698.05	$2,967.86	$3,188.47