Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,182.94 / $2,182.94 / $2,182.94	Facility		$2,182.94	$2,182.94	$2,182.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,182.94 / $2,182.94 / $2,347.87	Professional		$2,182.94	$2,182.94	$2,347.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,893.66 / $5,688.93 / $7,790.62	Facility		$2,893.66	$5,688.93	$7,790.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,893.66 / $3,116.25 / $5,056.82	Professional		$2,893.66	$3,116.25	$5,056.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $5,167.63	Facility		$2,741.63	$2,741.63	$5,167.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $21,659.10	Professional		$2,001.39	$2,741.63	$21,659.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,220.94 / $3,166.86 / $4,033.20	Professional		$2,220.94	$3,166.86	$4,033.20