Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,774.69 / $1,774.69	Facility		$1,400.00	$1,774.69	$1,774.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.11 / $1,774.69 / $2,061.57	Professional		$1,696.11	$1,774.69	$2,061.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,866.86 / $2,138.40 / $2,329.82	Facility		$1,866.86	$2,138.40	$2,329.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,070.94 / $2,070.94 / $2,070.94	Professional		$2,070.94	$2,070.94	$2,070.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,003.58 / $2,003.58 / $2,003.58	Facility		$2,003.58	$2,003.58	$2,003.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,675.79 / $2,617.01 / $10,751.07	Professional		$1,675.79	$2,617.01	$10,751.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.07 / $2,215.10 / $3,231.39	Professional		$1,437.07	$2,215.10	$3,231.39