Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,139.76 / $3,354.98	Facility		$1,400.00	$2,139.76	$3,354.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.75 / $2,236.30 / $3,142.11	Professional		$1,652.75	$2,236.30	$3,142.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,238.98 / $2,598.17 / $2,830.76	Facility		$2,238.98	$2,598.17	$2,830.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,290.84 / $2,516.23 / $2,516.23	Professional		$1,290.84	$2,516.23	$2,516.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,409.73 / $2,409.73 / $2,409.73	Facility		$2,409.73	$2,409.73	$2,409.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,028.15 / $2,585.91 / $4,969.35	Professional		$2,028.15	$2,585.91	$4,969.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,413.59 / $2,048.16 / $3,333.15	Professional		$1,413.59	$2,048.16	$3,333.15