Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,311.77 / $2,311.77 / $2,311.77	Facility		$2,311.77	$2,311.77	$2,311.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,291.38 / $2,311.77 / $2,486.42	Professional		$2,291.38	$2,311.77	$2,486.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,156.69 / $6,364.55 / $8,250.34	Facility		$3,156.69	$6,364.55	$8,250.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,064.41 / $3,399.52 / $5,827.74	Professional		$3,064.41	$3,399.52	$5,827.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $5,691.16	Facility		$2,886.72	$2,886.72	$5,691.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $23,165.98	Professional		$2,107.31	$2,886.72	$23,165.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,890.35 / $4,890.35 / $4,890.35	Facility		$4,890.35	$4,890.35	$4,890.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,205.06 / $2,834.36 / $3,689.88	Professional		$2,205.06	$2,834.36	$3,689.88