Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,846.55 / $1,846.55	Facility		$1,400.00	$1,846.55	$1,846.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,846.55 / $1,958.19 / $2,204.34	Professional		$1,846.55	$1,958.19	$2,204.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,869.42 / $2,140.14 / $2,331.71	Facility		$1,869.42	$2,140.14	$2,331.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,072.63 / $2,072.63 / $2,072.63	Professional		$2,072.63	$2,072.63	$2,072.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,005.98 / $2,005.98 / $2,005.98	Facility		$2,005.98	$2,005.98	$2,005.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,679.35 / $2,604.21 / $11,450.66	Professional		$1,679.35	$2,604.21	$11,450.66
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,440.19 / $2,133.65 / $3,240.76	Professional		$1,440.19	$2,133.65	$3,240.76