Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,675.56 / $2,675.56 / $2,675.56	Facility		$2,675.56	$2,675.56	$2,675.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,675.56 / $2,675.56 / $2,877.70	Professional		$2,675.56	$2,675.56	$2,877.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,546.63 / $6,820.45 / $9,548.62	Facility		$3,546.63	$6,820.45	$9,548.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,059.53 / $3,819.45 / $5,244.91	Professional		$3,059.53	$3,819.45	$5,244.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $5,707.53	Facility		$3,523.90	$3,523.90	$5,707.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $3,523.90 / $23,922.00	Professional		$2,572.44	$3,523.90	$23,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,665.33 / $3,273.82 / $4,536.87	Professional		$2,665.33	$3,273.82	$4,536.87