Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,348.87 / $3,720.72	Facility		$1,400.00	$2,348.87	$3,720.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,151.84 / $2,436.92 / $3,223.33	Professional		$2,151.84	$2,436.92	$3,223.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,473.21 / $2,473.21 / $3,139.36	Facility		$2,473.21	$2,473.21	$3,139.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,790.54 / $2,790.54 / $2,790.54	Professional		$2,790.54	$2,790.54	$2,790.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,651.02 / $2,651.02 / $2,651.02	Facility		$2,651.02	$2,651.02	$2,651.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,229.12 / $3,110.69 / $5,783.26	Professional		$2,229.12	$3,110.69	$5,783.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.18 / $2,284.65 / $3,720.72	Professional		$1,563.18	$2,284.65	$3,720.72