Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,377.96 / $3,655.50	Facility		$1,400.00	$2,377.96	$3,655.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,351.09 / $2,524.81 / $3,148.63	Professional		$2,351.09	$2,524.81	$3,148.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,542.48 / $2,830.92 / $3,084.33	Facility		$2,542.48	$2,830.92	$3,084.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,406.55 / $2,741.63 / $2,741.63	Professional		$1,406.55	$2,741.63	$2,741.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,718.09 / $2,718.09 / $2,718.09	Facility		$2,718.09	$2,718.09	$2,718.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,320.77 / $3,281.70 / $5,787.30	Professional		$2,320.77	$3,281.70	$5,787.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.89 / $2,645.83 / $3,774.73	Professional		$1,763.89	$2,645.83	$3,774.73