Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,869.17 / $1,869.17	Facility		$1,400.00	$1,869.17	$1,869.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.51 / $1,913.05 / $2,231.98	Professional		$1,623.51	$1,913.05	$2,231.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,893.60 / $2,167.80 / $2,361.85	Facility		$1,893.60	$2,167.80	$2,361.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,099.42 / $2,099.42 / $2,099.42	Professional		$2,099.42	$2,099.42	$2,099.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,031.30 / $2,031.30 / $2,031.30	Facility		$2,031.30	$2,031.30	$2,031.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.31 / $2,681.26 / $11,408.43	Professional		$1,701.31	$2,681.26	$11,408.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,482.71 / $2,354.84 / $3,320.61	Professional		$1,482.71	$2,354.84	$3,320.61