Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,267.59 / $2,267.59	Facility		$1,400.00	$2,267.59	$2,267.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,267.59 / $2,398.36 / $2,693.06	Professional		$2,267.59	$2,398.36	$2,693.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,289.44 / $2,625.20 / $2,860.20	Facility		$2,289.44	$2,625.20	$2,860.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,542.40 / $2,542.40 / $2,542.40	Professional		$2,542.40	$2,542.40	$2,542.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,457.36 / $2,457.36 / $2,457.36	Facility		$2,457.36	$2,457.36	$2,457.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,051.67 / $3,178.00 / $10,042.18	Professional		$2,051.67	$3,178.00	$10,042.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,636.31 / $2,372.91 / $3,503.12	Professional		$1,636.31	$2,372.91	$3,503.12