Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.40 / $2,089.16 / $2,089.16	Facility		$1,554.40	$2,089.16	$2,089.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,089.16 / $2,171.90	Professional		$2,068.46	$2,089.16	$2,171.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $3,102.71	Facility		$2,068.46	$2,068.46	$3,102.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $4,795.85	Professional		$2,068.46	$2,068.46	$4,795.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.39 / $2,825.40 / $2,825.40	Facility		$1,951.39	$2,825.40	$2,825.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,006.42 / $2,068.46 / $3,434.86	Professional		$2,006.42	$2,068.46	$3,434.86