Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,818.59 / $1,818.59	Facility		$1,400.00	$1,818.59	$1,818.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,818.59 / $1,914.10 / $2,156.55	Professional		$1,818.59	$1,914.10	$2,156.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,831.83 / $2,090.89 / $2,278.07	Facility		$1,831.83	$2,090.89	$2,278.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,024.95 / $2,024.95 / $2,024.95	Professional		$2,024.95	$2,024.95	$2,024.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,962.77 / $1,962.77 / $1,962.77	Facility		$1,962.77	$1,962.77	$1,962.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,647.06 / $2,623.31 / $10,830.01	Professional		$1,647.06	$2,623.31	$10,830.01
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 $1,444.44 / $2,358.92 / $3,135.48	Professional		$1,444.44	$2,358.92	$3,135.48