Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,987.23 / $3,152.26	Facility		$1,400.00	$1,987.23	$3,152.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,943.35 / $2,071.61 / $3,005.95	Professional		$1,943.35	$2,071.61	$3,005.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,099.36 / $2,441.19 / $2,659.72	Facility		$2,099.36	$2,441.19	$2,659.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,212.98 / $2,364.19 / $2,364.19	Professional		$1,212.98	$2,364.19	$2,364.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,248.63 / $2,248.63 / $2,248.63	Facility		$2,248.63	$2,248.63	$2,248.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,896.88 / $2,787.97 / $6,017.30	Professional		$1,896.88	$2,787.97	$6,017.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,421.73 / $2,069.46 / $3,152.26	Professional		$1,421.73	$2,069.46	$3,152.26