Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,273.23 / $3,504.45	Facility		$1,400.00	$2,273.23	$3,504.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,217.00 / $2,373.09 / $3,316.60	Professional		$2,217.00	$2,373.09	$3,316.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,261.61 / $2,426.60 / $2,956.88	Facility		$2,261.61	$2,426.60	$2,956.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.40 / $2,628.34 / $2,628.34	Professional		$1,348.40	$2,628.34	$2,628.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.29 / $2,592.29 / $2,592.29	Facility		$2,592.29	$2,592.29	$2,592.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,206.84 / $3,328.79 / $6,363.30	Professional		$2,206.84	$3,328.79	$6,363.30
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 $1,763.27 / $2,710.60 / $3,745.04	Professional		$1,763.27	$2,710.60	$3,745.04