Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,562.00 / $3,050.00	Facility		$1,400.00	$1,562.00	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.73 / $1,654.47 / $2,380.90	Professional		$1,530.73	$1,654.47	$2,380.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,661.90 / $1,661.90 / $2,028.44	Facility		$1,661.90	$1,661.90	$2,028.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,803.06 / $1,803.06 / $1,803.06	Professional		$1,803.06	$1,803.06	$1,803.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,795.12 / $1,795.12 / $1,795.12	Facility		$1,795.12	$1,795.12	$1,795.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,532.90 / $2,104.36 / $4,516.88	Professional		$1,532.90	$2,104.36	$4,516.88
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 $1,073.92 / $1,487.88 / $2,404.08	Professional		$1,073.92	$1,487.88	$2,404.08