Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,642.34 / $3,729.06 / $3,729.06	Facility		$2,642.34	$3,729.06	$3,729.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,729.06 / $3,876.75	Professional		$3,692.14	$3,729.06	$3,876.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $5,538.21	Facility		$3,692.14	$3,692.14	$5,538.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $8,560.40	Professional		$3,692.14	$3,692.14	$8,560.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,929.02 / $2,929.02 / $3,692.14	Facility		$2,929.02	$2,929.02	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,876.75	Professional		$3,692.14	$3,692.14	$3,876.75