Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,621.77 / $2,600.00	Facility		$1,400.00	$1,621.77	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.77 / $1,643.98 / $2,046.83	Professional		$1,621.77	$1,643.98	$2,046.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,747.57 / $1,925.03 / $2,097.35	Facility		$1,747.57	$1,925.03	$2,097.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,864.31 / $1,864.31 / $1,864.31	Professional		$1,864.31	$1,864.31	$1,864.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,885.35 / $1,885.35 / $1,885.35	Facility		$1,885.35	$1,885.35	$1,885.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.70 / $2,483.77 / $7,868.79	Professional		$1,635.70	$2,483.77	$7,868.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,309.17 / $2,035.45 / $2,999.33	Professional		$1,309.17	$2,035.45	$2,999.33