Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,921.60 / $4,921.60 / $4,921.60	Facility		$4,921.60	$4,921.60	$4,921.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,921.60 / $4,921.60 / $5,293.43	Professional		$4,921.60	$4,921.60	$5,293.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,720.32 / $13,549.69 / $17,564.41	Facility		$6,720.32	$13,549.69	$17,564.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,523.93 / $7,237.27 / $12,406.74	Professional		$6,523.93	$7,237.27	$12,406.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $12,115.96	Facility		$6,652.12	$6,652.12	$12,115.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $6,652.12 / $49,465.01	Professional		$4,856.05	$6,652.12	$49,465.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,007.25 / $6,931.74 / $8,718.19	Professional		$5,007.25	$6,931.74	$8,718.19