Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,715.35	Professional		$1,778.28	$2,137.96	$3,715.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $5,623.41	Facility		$2,691.53	$2,691.53	$5,623.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,011.87	Professional		$2,884.03	$2,884.03	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,079.46 / $7,079.46	Facility		$3,162.28	$7,079.46	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $21,379.62	Professional		$2,290.87	$2,290.87	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,786.30	Facility		$2,754.23	$2,754.23	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,630.78	Professional		$2,137.96	$2,754.23	$3,630.78