Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.20 / $1,958.20 / $1,958.20	Facility		$1,958.20	$1,958.20	$1,958.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.20 / $1,958.20 / $2,443.73	Professional		$1,958.20	$1,958.20	$2,443.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,853.66 / $5,391.14 / $6,988.52	Facility		$2,853.66	$5,391.14	$6,988.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,595.73 / $3,073.18 / $5,268.30	Professional		$2,595.73	$3,073.18	$5,268.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $5,144.82	Facility		$2,728.17	$2,728.17	$5,144.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $21,424.95	Professional		$1,991.56	$1,991.56	$21,424.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,992.28 / $2,763.20 / $3,335.38	Professional		$1,992.28	$2,763.20	$3,335.38