Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.53 / $1,814.53 / $1,814.53	Facility		$1,814.53	$1,814.53	$1,814.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,814.53 / $1,814.53 / $2,355.41	Professional		$1,814.53	$1,814.53	$2,355.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,418.48 / $4,995.60 / $6,475.79	Facility		$2,418.48	$4,995.60	$6,475.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,405.29 / $2,604.53 / $4,464.91	Professional		$2,405.29	$2,604.53	$4,464.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $4,782.93	Facility		$2,717.61	$2,717.61	$4,782.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $2,717.61 / $20,046.72	Professional		$1,983.86	$2,717.61	$20,046.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,807.59 / $2,578.86 / $2,967.05	Professional		$1,807.59	$2,578.86	$2,967.05