Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.58 / $1,523.58 / $1,523.58	Facility		$1,523.58	$1,523.58	$1,523.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.58 / $1,523.58 / $1,693.76	Professional		$1,523.58	$1,523.58	$1,693.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,019.60 / $4,216.80 / $5,592.74	Facility		$2,019.60	$4,216.80	$5,592.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,019.60 / $2,174.96 / $3,728.50	Professional		$2,019.60	$2,174.96	$3,728.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $4,040.95	Facility		$2,479.82	$2,479.82	$4,040.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,479.82 / $16,936.84	Professional		$1,810.27	$2,479.82	$16,936.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,550.09 / $2,165.34 / $2,583.48	Professional		$1,550.09	$2,165.34	$2,583.48