Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,933.04 / $1,933.04	Facility		$1,400.00	$1,933.04	$1,933.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.47 / $1,933.04 / $2,294.61	Professional		$1,748.47	$1,933.04	$2,294.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,127.17 / $2,379.16 / $2,592.14	Facility		$2,127.17	$2,379.16	$2,592.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,304.12 / $2,304.12 / $2,304.12	Professional		$2,304.12	$2,304.12	$2,304.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,272.13 / $2,272.13 / $2,272.13	Facility		$2,272.13	$2,272.13	$2,272.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,956.15 / $2,880.14 / $11,331.30	Professional		$1,956.15	$2,880.14	$11,331.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.83 / $2,657.63 / $3,289.15	Professional		$1,566.83	$2,657.63	$3,289.15