Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,730.99 / $1,730.99	Facility		$1,400.00	$1,730.99	$1,730.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.99 / $1,838.45 / $2,070.89	Professional		$1,730.99	$1,838.45	$2,070.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,754.86 / $2,007.80 / $2,187.54	Facility		$1,754.86	$2,007.80	$2,187.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,944.48 / $1,944.48 / $1,944.48	Professional		$1,944.48	$1,944.48	$1,944.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,883.08 / $1,883.08 / $1,883.08	Facility		$1,883.08	$1,883.08	$1,883.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,577.99 / $2,430.60 / $10,618.87	Professional		$1,577.99	$2,430.60	$10,618.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.53 / $1,911.68 / $2,966.86	Professional		$1,318.53	$1,911.68	$2,966.86