Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,345.64 / $2,345.64	Facility		$1,400.00	$2,345.64	$2,345.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,234.90 / $2,345.64 / $2,706.29	Professional		$2,234.90	$2,345.64	$2,706.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,458.83 / $2,822.38 / $3,075.02	Facility		$2,458.83	$2,822.38	$3,075.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,733.35 / $2,733.35 / $2,733.35	Professional		$2,733.35	$2,733.35	$2,733.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,641.07 / $2,641.07 / $2,641.07	Facility		$2,641.07	$2,641.07	$2,641.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,199.91 / $3,416.69 / $10,771.83	Professional		$2,199.91	$3,416.69	$10,771.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,809.56 / $2,342.55 / $3,781.90	Professional		$1,809.56	$2,342.55	$3,781.90