Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,832.21 / $3,050.00	Facility		$1,400.00	$1,832.21	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,791.97 / $1,897.20 / $2,817.66	Professional		$1,791.97	$1,897.20	$2,817.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,933.37 / $2,213.11 / $2,411.21	Facility		$1,933.37	$2,213.11	$2,411.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,099.48 / $2,143.31 / $2,143.31	Professional		$1,099.48	$2,143.31	$2,143.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,083.80 / $2,083.80 / $2,083.80	Facility		$2,083.80	$2,083.80	$2,083.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.42 / $2,669.38 / $5,500.29	Professional		$1,755.42	$2,669.38	$5,500.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.61 / $2,249.25 / $2,947.05	Professional		$1,405.61	$2,249.25	$2,947.05