Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,712.50 / $2,712.50 / $2,712.50	Facility		$2,712.50	$2,712.50	$2,712.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,712.50 / $2,712.50 / $3,411.31	Professional		$2,712.50	$2,712.50	$3,411.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,595.61 / $7,397.11 / $9,680.48	Facility		$3,595.61	$7,397.11	$9,680.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,595.61 / $3,872.19 / $6,575.21	Professional		$3,595.61	$3,872.19	$6,575.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $7,034.73	Facility		$4,072.36	$4,072.36	$7,034.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $4,072.36 / $29,484.71	Professional		$2,972.82	$4,072.36	$29,484.71
United Facility/Professional Professional Modifier Low / Median / High Price $2,759.71 / $3,719.26 / $4,599.51	Professional		$2,759.71	$3,719.26	$4,599.51