Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,300.00 / $2,575.96	Facility		$1,400.00	$2,300.00	$2,575.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,343.05 / $2,575.96 / $2,722.64	Professional		$2,343.05	$2,575.96	$2,722.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,842.78 / $3,176.39 / $3,460.73	Facility		$2,842.78	$3,176.39	$3,460.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,076.20 / $3,076.20 / $3,076.20	Professional		$3,076.20	$3,076.20	$3,076.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,036.35 / $3,036.35 / $3,036.35	Facility		$3,036.35	$3,036.35	$3,036.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,178.98 / $3,216.40 / $7,068.01	Professional		$2,178.98	$3,216.40	$7,068.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.29 / $2,850.23 / $4,179.67	Professional		$2,194.29	$2,850.23	$4,179.67