Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,769.01 / $2,809.76	Facility		$1,400.00	$1,769.01	$2,809.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,738.99 / $1,862.95 / $2,261.62	Professional		$1,738.99	$1,862.95	$2,261.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,879.17 / $2,175.96 / $2,370.73	Facility		$1,879.17	$2,175.96	$2,370.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,081.15 / $2,107.32 / $2,107.32	Professional		$1,081.15	$2,107.32	$2,107.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,012.44 / $2,012.44 / $2,012.44	Facility		$2,012.44	$2,012.44	$2,012.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,706.72 / $2,195.07 / $4,524.58	Professional		$1,706.72	$2,195.07	$4,524.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.81 / $1,832.11 / $2,809.76	Professional		$1,165.81	$1,832.11	$2,809.76