Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,651.14 / $2,651.14 / $2,651.14	Facility		$2,651.14	$2,651.14	$2,651.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,651.14 / $2,651.14 / $2,851.42	Professional		$2,651.14	$2,651.14	$2,851.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,514.26 / $7,053.62 / $9,461.48	Facility		$3,514.26	$7,053.62	$9,461.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,514.26 / $3,784.59 / $6,269.88	Professional		$3,514.26	$3,784.59	$6,269.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $6,748.33	Facility		$3,745.37	$3,745.37	$6,748.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $28,284.29	Professional		$2,734.12	$2,734.12	$28,284.29
United Facility/Professional Professional Modifier Low / Median / High Price $2,697.27 / $3,869.57 / $4,515.63	Professional		$2,697.27	$3,869.57	$4,515.63