Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.75 / $1,944.75 / $1,944.75	Facility		$1,944.75	$1,944.75	$1,944.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.75 / $1,944.75 / $2,091.67	Professional		$1,944.75	$1,944.75	$2,091.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,655.48 / $5,354.09 / $6,940.48	Facility		$2,655.48	$5,354.09	$6,940.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,577.89 / $2,859.75 / $4,902.43	Professional		$2,577.89	$2,859.75	$4,902.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $4,787.53	Facility		$2,282.71	$2,282.71	$4,787.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $19,635.57	Professional		$1,666.39	$1,666.39	$19,635.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,978.58 / $2,384.37 / $3,104.06	Professional		$1,978.58	$2,384.37	$3,104.06