Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,292.27 / $3,631.84	Facility		$1,400.00	$2,292.27	$3,631.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,199.29 / $2,379.15 / $3,085.47	Professional		$2,199.29	$2,379.15	$3,085.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,414.67 / $2,414.67 / $3,064.37	Facility		$2,414.67	$2,414.67	$3,064.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,723.88 / $2,723.88 / $2,723.88	Professional		$2,723.88	$2,723.88	$2,723.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,586.94 / $2,586.94 / $2,586.94	Facility		$2,586.94	$2,586.94	$2,586.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,177.09 / $3,027.33 / $5,984.47	Professional		$2,177.09	$3,027.33	$5,984.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,638.43 / $2,373.12 / $3,631.84	Professional		$1,638.43	$2,373.12	$3,631.84