Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,783.52 / $1,783.52	Facility		$1,400.00	$1,783.52	$1,783.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,783.52 / $1,894.00 / $2,132.40	Professional		$1,783.52	$1,894.00	$2,132.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,807.11 / $2,067.77 / $2,252.87	Facility		$1,807.11	$2,067.77	$2,252.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,002.55 / $2,002.55 / $2,002.55	Professional		$2,002.55	$2,002.55	$2,002.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,940.03 / $1,940.03 / $1,940.03	Facility		$1,940.03	$1,940.03	$1,940.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,624.53 / $2,506.76 / $10,951.20	Professional		$1,624.53	$2,506.76	$10,951.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,389.11 / $2,059.31 / $3,096.63	Professional		$1,389.11	$2,059.31	$3,096.63