Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,543.89 / $2,569.33 / $2,798.28	Facility		$2,543.89	$2,569.33	$2,798.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,738.56	Professional		$2,608.16	$2,608.16	$2,738.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $2,868.98 / $3,912.24	Facility		$2,608.16	$2,868.98	$3,912.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $6,047.14	Professional		$2,608.16	$2,608.16	$6,047.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.53 / $3,010.31 / $3,010.31	Facility		$2,460.53	$3,010.31	$3,010.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,706.58	Professional		$2,608.16	$2,608.16	$2,706.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,895.06 / $3,541.54	Professional		$2,608.16	$2,895.06	$3,541.54