Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $4,105.50 / $4,105.50	Professional		$3,864.00	$4,105.50	$4,105.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,006.80 / $4,006.80 / $44,999.55	Facility		$4,006.80	$4,006.80	$44,999.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,006.80 / $4,006.80 / $4,006.80	Professional		$4,006.80	$4,006.80	$4,006.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,220.00 / $4,200.00 / $4,479.64	Professional		$3,220.00	$4,200.00	$4,479.64