Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,463.41 / $3,808.45	Facility		$1,400.00	$2,463.41	$3,808.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.01 / $2,546.06 / $4,188.71	Professional		$2,398.01	$2,546.06	$4,188.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,621.19 / $2,949.36 / $3,213.38	Facility		$2,621.19	$2,949.36	$3,213.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,465.50 / $2,856.34 / $2,856.34	Professional		$1,465.50	$2,856.34	$2,856.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.44 / $2,802.44 / $2,802.44	Facility		$2,802.44	$2,802.44	$2,802.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.92 / $3,596.35 / $8,487.36	Professional		$2,382.92	$3,596.35	$8,487.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,906.88 / $2,933.04 / $4,120.01	Professional		$1,906.88	$2,933.04	$4,120.01