Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,651.08 / $2,561.25	Facility		$1,400.00	$1,651.08	$2,561.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,651.08 / $1,731.43 / $2,474.54	Professional		$1,651.08	$1,731.43	$2,474.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,768.26 / $1,768.26 / $2,161.05	Facility		$1,768.26	$1,768.26	$2,161.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,920.94 / $1,920.94 / $1,920.94	Professional		$1,920.94	$1,920.94	$1,920.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,889.38 / $1,889.38 / $1,889.38	Facility		$1,889.38	$1,889.38	$1,889.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,609.69 / $2,447.42 / $4,857.02	Professional		$1,609.69	$2,447.42	$4,857.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,309.30 / $1,930.71 / $2,722.52	Professional		$1,309.30	$1,930.71	$2,722.52