Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,622.47 / $1,622.47	Facility		$1,400.00	$1,622.47	$1,622.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.47 / $1,703.88 / $1,917.50	Professional		$1,622.47	$1,703.88	$1,917.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,631.23 / $1,864.03 / $2,030.89	Facility		$1,631.23	$1,864.03	$2,030.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,805.23 / $1,805.23 / $1,805.23	Professional		$1,805.23	$1,805.23	$1,805.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.52 / $1,747.52 / $1,747.52	Facility		$1,747.52	$1,747.52	$1,747.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,464.13 / $2,256.54 / $7,256.74	Professional		$1,464.13	$2,256.54	$7,256.74
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,251.18 / $1,684.88 / $2,507.62	Professional		$1,251.18	$1,684.88	$2,507.62