Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,518.62 / $2,600.00	Facility		$1,400.00	$1,518.62	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.76 / $1,587.44 / $2,226.19	Professional		$1,486.76	$1,587.44	$2,226.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,626.32 / $1,824.91 / $1,988.28	Facility		$1,626.32	$1,824.91	$1,988.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $906.70 / $1,767.36 / $1,767.36	Professional		$906.70	$1,767.36	$1,767.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.58 / $1,736.58 / $1,736.58	Facility		$1,736.58	$1,736.58	$1,736.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.82 / $1,767.36 / $4,481.75	Professional		$1,351.82	$1,767.36	$4,481.75
United Facility/Professional Professional Modifier Low / Median / High Price $863.51 / $1,391.20 / $2,248.29	Professional		$863.51	$1,391.20	$2,248.29