Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.44 / $1,879.44 / $1,879.44	Facility		$1,879.44	$1,879.44	$1,879.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.87 / $1,879.44 / $2,021.43	Professional		$1,862.87	$1,879.44	$2,021.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,566.33 / $5,174.28 / $6,707.40	Facility		$2,566.33	$5,174.28	$6,707.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,491.32 / $2,763.74 / $4,737.84	Professional		$2,491.32	$2,763.74	$4,737.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $4,626.79	Facility		$2,540.30	$2,540.30	$4,626.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,540.30 / $18,833.57	Professional		$1,854.42	$2,540.30	$18,833.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,912.15 / $2,444.77 / $3,186.91	Professional		$1,912.15	$2,444.77	$3,186.91