Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,605.60 / $1,605.60 / $1,605.60	Facility		$1,605.60	$1,605.60	$1,605.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.60 / $1,605.60 / $1,939.00	Professional		$1,605.60	$1,605.60	$1,939.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,128.33 / $4,420.39 / $5,893.85	Facility		$2,128.33	$4,420.39	$5,893.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,128.33 / $2,292.05 / $3,929.23	Professional		$2,128.33	$2,292.05	$3,929.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $4,280.45	Facility		$2,694.60	$2,694.60	$4,280.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $17,940.66	Professional		$1,967.06	$1,967.06	$17,940.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,599.46 / $2,281.91 / $2,722.57	Professional		$1,599.46	$2,281.91	$2,722.57