Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,751.02 / $2,715.33	Facility		$1,400.00	$1,751.02	$2,715.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.57 / $1,823.69 / $2,653.92	Professional		$1,711.57	$1,823.69	$2,653.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,871.92 / $2,102.82 / $2,291.06	Facility		$1,871.92	$2,102.82	$2,291.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,044.91 / $2,036.50 / $2,036.50	Professional		$1,044.91	$2,036.50	$2,036.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.17 / $2,036.50 / $5,178.66	Professional		$1,295.17	$2,036.50	$5,178.66
United Facility/Professional Professional Modifier Low / Median / High Price $794.76 / $1,429.97 / $2,630.47	Professional		$794.76	$1,429.97	$2,630.47