Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,001.25 / $3,096.93	Facility		$1,400.00	$2,001.25	$3,096.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,967.30 / $2,108.69 / $2,839.03	Professional		$1,967.30	$2,108.69	$2,839.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,998.62 / $2,148.69 / $2,613.03	Facility		$1,998.62	$2,148.69	$2,613.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,191.68 / $2,322.69 / $2,322.69	Professional		$1,191.68	$2,322.69	$2,322.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,293.52 / $2,293.52 / $2,293.52	Facility		$2,293.52	$2,293.52	$2,293.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,955.25 / $2,752.20 / $5,823.62	Professional		$1,955.25	$2,752.20	$5,823.62
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 $1,504.13 / $2,228.60 / $3,179.91	Professional		$1,504.13	$2,228.60	$3,179.91