Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,974.48 / $2,974.48 / $2,974.48	Facility		$2,974.48	$2,974.48	$2,974.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,948.26 / $2,974.48 / $3,199.21	Professional		$2,948.26	$2,974.48	$3,199.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,126.14 / $8,189.07 / $10,615.47	Facility		$4,126.14	$8,189.07	$10,615.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,942.89 / $4,443.54 / $7,617.50	Professional		$3,942.89	$4,443.54	$7,617.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $7,964.67	Facility		$3,790.37	$3,790.37	$7,964.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $3,790.37 / $33,382.36	Professional		$2,766.97	$3,790.37	$33,382.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,963.10 / $3,646.90 / $4,747.67	Professional		$2,963.10	$3,646.90	$4,747.67