Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.18 / $1,733.18 / $1,733.18	Facility		$1,733.18	$1,733.18	$1,733.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.18 / $1,733.18 / $1,864.12	Professional		$1,733.18	$1,733.18	$1,864.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,297.44 / $4,491.96 / $6,185.43	Facility		$2,297.44	$4,491.96	$6,185.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,297.44 / $2,474.17 / $3,992.86	Professional		$2,297.44	$2,474.17	$3,992.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $4,025.01	Facility		$2,425.11	$2,425.11	$4,025.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $16,870.05	Professional		$1,770.33	$2,425.11	$16,870.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.34 / $2,373.05 / $2,952.08	Professional		$1,763.34	$2,373.05	$2,952.08