Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,691.25 / $1,691.25	Facility		$1,400.00	$1,691.25	$1,691.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,535.78 / $1,691.25 / $2,007.49	Professional		$1,535.78	$1,691.25	$2,007.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,869.81 / $2,088.60 / $2,275.56	Facility		$1,869.81	$2,088.60	$2,275.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,022.72 / $2,022.72 / $2,022.72	Professional		$2,022.72	$2,022.72	$2,022.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.13 / $1,995.13 / $1,995.13	Facility		$1,995.13	$1,995.13	$1,995.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.48 / $2,528.40 / $9,770.54	Professional		$1,723.48	$2,528.40	$9,770.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,391.67 / $2,084.92 / $2,885.97	Professional		$1,391.67	$2,084.92	$2,885.97