Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,645.05 / $1,645.05	Facility		$1,400.00	$1,645.05	$1,645.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,572.42 / $1,645.05 / $1,912.71	Professional		$1,572.42	$1,645.05	$1,912.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,731.55 / $1,982.87 / $2,160.36	Facility		$1,731.55	$1,982.87	$2,160.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,920.32 / $1,920.32 / $1,920.32	Professional		$1,920.32	$1,920.32	$1,920.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.69 / $1,858.69 / $1,858.69	Facility		$1,858.69	$1,858.69	$1,858.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.88 / $2,400.40 / $9,765.01	Professional		$1,554.88	$2,400.40	$9,765.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.47 / $1,891.38 / $2,832.53	Professional		$1,334.47	$1,891.38	$2,832.53