Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $2,248.00 / $2,248.00	Facility		$2,248.00	$2,248.00	$2,248.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,248.00 / $2,248.00 / $2,457.40	Professional		$2,248.00	$2,248.00	$2,457.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,979.89 / $6,241.15 / $8,251.99	Facility		$2,979.89	$6,241.15	$8,251.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,979.89 / $3,209.11 / $5,501.33	Professional		$2,979.89	$3,209.11	$5,501.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $6,018.46	Facility		$3,670.30	$3,670.30	$6,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $3,670.30 / $25,225.18	Professional		$2,679.32	$3,670.30	$25,225.18
United Facility/Professional Professional Modifier Low / Median / High Price $2,287.12 / $2,756.18 / $3,828.99	Professional		$2,287.12	$2,756.18	$3,828.99