Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,404.09 / $1,404.09	Facility		$1,400.00	$1,404.09	$1,404.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.27 / $1,404.09 / $1,675.83	Professional		$1,342.27	$1,404.09	$1,675.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,537.31 / $1,744.31 / $1,900.45	Facility		$1,537.31	$1,744.31	$1,900.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,689.29 / $1,689.29 / $1,689.29	Professional		$1,689.29	$1,689.29	$1,689.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,624.09 / $1,624.09 / $1,624.09	Facility		$1,624.09	$1,624.09	$1,624.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.69 / $2,104.14 / $7,713.96	Professional		$1,396.69	$2,104.14	$7,713.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.68 / $1,518.69 / $2,280.55	Professional		$1,101.68	$1,518.69	$2,280.55