Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,291.77 / $4,291.77 / $4,291.77	Facility		$4,291.77	$4,291.77	$4,291.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,291.77 / $4,291.77 / $4,616.02	Professional		$4,291.77	$4,291.77	$4,616.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,689.04 / $11,201.00 / $15,316.65	Facility		$5,689.04	$11,201.00	$15,316.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,641.83 / $6,126.66 / $9,671.70	Professional		$5,641.83	$6,126.66	$9,671.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $10,347.86	Facility		$6,300.68	$6,300.68	$10,347.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $6,300.68 / $43,371.03	Professional		$4,599.50	$6,300.68	$43,371.03
United Facility/Professional Professional Modifier Low / Median / High Price $4,366.46 / $5,616.88 / $7,277.44	Professional		$4,366.46	$5,616.88	$7,277.44