Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,102.50 / $2,102.50	Facility		$1,400.00	$2,102.50	$2,102.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,096.13 / $2,126.61 / $2,625.79	Professional		$2,096.13	$2,126.61	$2,625.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,267.52 / $2,504.39 / $2,728.58	Facility		$2,267.52	$2,504.39	$2,728.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,425.40 / $2,425.40 / $2,425.40	Professional		$2,425.40	$2,425.40	$2,425.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,439.61 / $2,439.61 / $2,439.61	Facility		$2,439.61	$2,439.61	$2,439.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,111.64 / $3,031.75 / $10,387.50	Professional		$2,111.64	$3,031.75	$10,387.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,637.96 / $2,363.15 / $3,497.41	Professional		$1,637.96	$2,363.15	$3,497.41