Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,520.19 / $1,520.19	Facility		$1,400.00	$1,520.19	$1,520.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,520.19 / $1,616.15 / $1,823.93	Professional		$1,520.19	$1,616.15	$1,823.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,544.18 / $1,765.30 / $1,923.32	Facility		$1,544.18	$1,765.30	$1,923.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,709.62 / $1,709.62 / $1,709.62	Professional		$1,709.62	$1,709.62	$1,709.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,655.22 / $1,655.22 / $1,655.22	Facility		$1,655.22	$1,655.22	$1,655.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.58 / $2,137.02 / $9,754.00	Professional		$1,390.58	$2,137.02	$9,754.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.92 / $1,752.20 / $2,627.45	Professional		$1,218.92	$1,752.20	$2,627.45