Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.02 / $1,816.02 / $1,816.02	Facility		$1,816.02	$1,816.02	$1,816.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,816.02 / $1,816.02 / $2,030.29	Professional		$1,816.02	$1,816.02	$2,030.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,530.21 / $4,999.68 / $6,481.07	Facility		$2,530.21	$4,999.68	$6,481.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,407.26 / $2,724.86 / $4,671.18	Professional		$2,407.26	$2,724.86	$4,671.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $4,704.04	Facility		$2,970.85	$2,970.85	$4,704.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,970.85 / $19,716.07	Professional		$2,168.71	$2,970.85	$19,716.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,847.62 / $2,226.55 / $3,093.20	Professional		$1,847.62	$2,226.55	$3,093.20