Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $5,623.41	Professional		$2,630.27	$3,311.31	$5,623.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $8,317.64	Facility		$4,073.80	$4,073.80	$8,317.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $7,413.10	Professional		$4,365.16	$4,365.16	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $11,481.54 / $11,481.54	Facility		$4,365.16	$11,481.54	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $34,673.69	Professional		$3,162.28	$3,162.28	$34,673.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,168.69 / $7,244.36	Facility		$4,073.80	$4,168.69	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $5,128.61	Professional		$3,019.95	$3,981.07	$5,128.61