Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,553.83 / $2,553.83	Facility		$1,400.00	$2,553.83	$2,553.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,553.83 / $2,695.71 / $3,018.81	Professional		$2,553.83	$2,695.71	$3,018.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,571.36 / $2,952.61 / $3,216.92	Facility		$2,571.36	$2,952.61	$3,216.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,859.48 / $2,859.48 / $2,859.48	Professional		$2,859.48	$2,859.48	$2,859.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,762.57 / $2,762.57 / $2,762.57	Facility		$2,762.57	$2,762.57	$2,762.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,299.02 / $3,421.40 / $11,729.78	Professional		$2,299.02	$3,421.40	$11,729.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,724.38 / $2,382.34 / $3,945.21	Professional		$1,724.38	$2,382.34	$3,945.21