Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $5,248.07	Professional		$2,630.27	$3,019.95	$5,248.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $8,317.64	Facility		$3,981.07	$3,981.07	$8,317.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $7,244.36	Professional		$4,265.80	$4,265.80	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,232.93 / $10,232.93	Facility		$4,073.80	$10,232.93	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $30,902.95	Professional		$2,951.21	$2,951.21	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $6,456.54	Facility		$3,715.35	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $4,677.35	Professional		$2,754.23	$3,548.13	$4,677.35