Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,801.47 / $1,801.47	Facility		$1,400.00	$1,801.47	$1,801.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.77 / $1,839.31 / $2,138.55	Professional		$1,426.77	$1,839.31	$2,138.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,818.18 / $2,084.90 / $2,271.54	Facility		$1,818.18	$2,084.90	$2,271.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,019.14 / $2,019.14 / $2,019.14	Professional		$2,019.14	$2,019.14	$2,019.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.54 / $1,951.54 / $1,951.54	Facility		$1,951.54	$1,951.54	$1,951.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,629.27 / $2,523.92 / $9,274.73	Professional		$1,629.27	$2,523.92	$9,274.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,359.37 / $1,993.74 / $2,784.41	Professional		$1,359.37	$1,993.74	$2,784.41