Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,737.21 / $2,737.21 / $2,737.21	Facility		$2,737.21	$2,737.21	$2,737.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,737.21 / $2,737.21 / $3,008.18	Professional		$2,737.21	$2,737.21	$3,008.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,963.62 / $7,535.82 / $9,768.66	Facility		$3,963.62	$7,535.82	$9,768.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,628.36 / $4,268.51 / $7,317.44	Professional		$3,628.36	$4,268.51	$7,317.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $7,323.36	Facility		$4,052.23	$4,052.23	$7,323.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $4,052.23 / $30,694.43	Professional		$2,958.13	$4,052.23	$30,694.43
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.85 / $3,890.18 / $4,641.41	Professional		$2,784.85	$3,890.18	$4,641.41