Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,680.20 / $2,600.00	Facility		$1,400.00	$1,680.20	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,625.13 / $1,735.33 / $2,628.33	Professional		$1,625.13	$1,735.33	$2,628.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,763.11 / $1,995.89 / $2,174.55	Facility		$1,763.11	$1,995.89	$2,174.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $991.74 / $1,932.94 / $1,932.94	Professional		$991.74	$1,932.94	$1,932.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,894.69 / $1,894.69 / $1,894.69	Facility		$1,894.69	$1,894.69	$1,894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.88 / $2,567.23 / $5,077.10	Professional		$1,612.88	$2,567.23	$5,077.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,424.64 / $2,255.09 / $3,108.77	Professional		$1,424.64	$2,255.09	$3,108.77