Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,957.03 / $1,957.03	Facility		$1,400.00	$1,957.03	$1,957.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,938.64 / $1,977.51 / $2,411.77	Professional		$1,938.64	$1,977.51	$2,411.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,109.56 / $2,337.96 / $2,547.25	Facility		$2,109.56	$2,337.96	$2,547.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,264.21 / $2,264.21 / $2,264.21	Professional		$2,264.21	$2,264.21	$2,264.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,271.00 / $2,271.00 / $2,271.00	Facility		$2,271.00	$2,271.00	$2,271.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,951.80 / $2,830.27 / $9,401.36	Professional		$1,951.80	$2,830.27	$9,401.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.67 / $2,171.69 / $3,232.82	Professional		$1,555.67	$2,171.69	$3,232.82