Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,991.40 / $1,991.40	Facility		$1,400.00	$1,991.40	$1,991.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,991.40 / $2,104.31 / $2,359.10	Professional		$1,991.40	$2,104.31	$2,359.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,008.40 / $2,304.42 / $2,510.69	Facility		$2,008.40	$2,304.42	$2,510.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,231.73 / $2,231.73 / $2,231.73	Professional		$2,231.73	$2,231.73	$2,231.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,156.28 / $2,156.28 / $2,156.28	Facility		$2,156.28	$2,156.28	$2,156.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.02 / $2,789.66 / $16,188.11	Professional		$1,798.02	$2,789.66	$16,188.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,538.21 / $2,110.69 / $3,178.97	Professional		$1,538.21	$2,110.69	$3,178.97