Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,446.42 / $3,769.95	Facility		$1,400.00	$2,446.42	$3,769.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,384.81 / $2,550.33 / $4,161.08	Professional		$2,384.81	$2,550.33	$4,161.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,609.90 / $2,919.55 / $3,180.90	Facility		$2,609.90	$2,919.55	$3,180.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,450.76 / $2,827.46 / $2,827.46	Professional		$1,450.76	$2,827.46	$2,827.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,789.24 / $2,789.24 / $2,789.24	Facility		$2,789.24	$2,789.24	$2,789.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,374.05 / $3,606.94 / $6,945.21	Professional		$2,374.05	$3,606.94	$6,945.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,879.71 / $2,914.21 / $3,980.64	Professional		$1,879.71	$2,914.21	$3,980.64