Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.75 / $1,791.75 / $1,791.75	Facility		$1,791.75	$1,791.75	$1,791.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,775.95 / $1,791.75 / $1,927.12	Professional		$1,775.95	$1,791.75	$1,927.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,446.63 / $4,932.89 / $6,394.48	Facility		$2,446.63	$4,932.89	$6,394.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,375.09 / $2,634.84 / $4,516.85	Professional		$2,375.09	$2,634.84	$4,516.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $4,411.00	Facility		$2,264.80	$2,264.80	$4,411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $2,264.80 / $17,954.93	Professional		$1,653.30	$2,264.80	$17,954.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,822.93 / $2,330.71 / $3,051.86	Professional		$1,822.93	$2,330.71	$3,051.86