Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,786.30	Professional		$2,344.23	$2,818.38	$4,786.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $7,413.10	Facility		$3,548.13	$3,548.13	$7,413.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $6,606.93	Professional		$3,890.45	$3,890.45	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $9,120.11	Facility		$3,715.35	$9,120.11	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $27,542.29	Professional		$2,691.53	$2,691.53	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,888.44	Facility		$3,388.44	$3,388.44	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $4,897.79	Professional		$2,754.23	$3,715.35	$4,897.79