Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $3,162.28	Facility		$1,737.80	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,995.26	Professional		$1,479.11	$1,737.80	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $6,309.57	Facility		$1,778.28	$3,388.44	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $2,630.27	Professional		$891.25	$954.99	$2,630.27