Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.57 / $1,625.57 / $1,625.57	Facility		$1,625.57	$1,625.57	$1,625.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,611.24 / $1,625.57 / $1,748.38	Professional		$1,611.24	$1,625.57	$1,748.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,154.80 / $4,485.37 / $5,967.14	Facility		$2,154.80	$4,485.37	$5,967.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,154.80 / $2,320.56 / $3,978.10	Professional		$2,154.80	$2,320.56	$3,978.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $4,312.06	Facility		$2,637.76	$2,637.76	$4,312.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,637.76 / $18,073.16	Professional		$1,925.56	$2,637.76	$18,073.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,653.86 / $2,185.46 / $2,768.80	Professional		$1,653.86	$2,185.46	$2,768.80