Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,552.92 / $2,600.00	Facility		$1,400.00	$1,552.92	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.92 / $1,734.70 / $2,580.50	Professional		$1,552.92	$1,734.70	$2,580.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,555.26 / $1,700.99 / $2,033.38	Facility		$1,555.26	$1,700.99	$2,033.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $927.22 / $1,807.45 / $1,807.45	Professional		$927.22	$1,807.45	$1,807.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.47 / $1,877.47 / $1,877.47	Facility		$1,877.47	$1,877.47	$1,877.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.58 / $2,298.46 / $4,860.88	Professional		$1,584.58	$2,298.46	$4,860.88
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 $1,280.59 / $1,878.45 / $2,633.05	Professional		$1,280.59	$1,878.45	$2,633.05