Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,791.02 / $1,791.02	Facility		$1,400.00	$1,791.02	$1,791.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.26 / $1,791.02 / $2,085.58	Professional		$1,713.26	$1,791.02	$2,085.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,886.08 / $2,159.02 / $2,352.28	Facility		$1,886.08	$2,159.02	$2,352.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,090.92 / $2,090.92 / $2,090.92	Professional		$2,090.92	$2,090.92	$2,090.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,023.91 / $2,023.91 / $2,023.91	Facility		$2,023.91	$2,023.91	$2,023.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,694.68 / $2,664.94 / $10,154.45	Professional		$1,694.68	$2,664.94	$10,154.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,496.98 / $2,787.89 / $4,515.10	Professional		$1,496.98	$2,787.89	$4,515.10