Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $7,244.36	Professional		$3,548.13	$4,168.69	$7,244.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $11,220.18	Facility		$5,370.32	$5,370.32	$11,220.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $10,000.00	Professional		$5,888.44	$5,888.44	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $13,489.63 / $13,489.63	Facility		$4,786.30	$13,489.63	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $40,738.03	Professional		$4,073.80	$4,073.80	$40,738.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $8,709.64	Facility		$5,011.87	$5,011.87	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $7,762.47	Professional		$4,265.80	$5,754.40	$7,762.47