Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,150.81 / $2,150.81	Facility		$1,400.00	$2,150.81	$2,150.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,150.81 / $2,265.62 / $2,533.54	Professional		$2,150.81	$2,265.62	$2,533.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,160.52 / $2,483.32 / $2,705.62	Facility		$2,160.52	$2,483.32	$2,705.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,404.98 / $2,404.98 / $2,404.98	Professional		$2,404.98	$2,404.98	$2,404.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.13 / $2,322.13 / $2,322.13	Facility		$2,322.13	$2,322.13	$2,322.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,928.68 / $3,006.24 / $10,258.96	Professional		$1,928.68	$3,006.24	$10,258.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,603.33 / $2,280.07 / $3,260.94	Professional		$1,603.33	$2,280.07	$3,260.94