Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,051.80 / $2,051.80	Facility		$1,400.00	$2,051.80	$2,051.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,051.80 / $2,167.69 / $2,429.90	Professional		$2,051.80	$2,167.69	$2,429.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,068.12 / $2,372.92 / $2,585.33	Facility		$2,068.12	$2,372.92	$2,585.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,298.07 / $2,298.07 / $2,298.07	Professional		$2,298.07	$2,298.07	$2,298.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,221.27 / $2,221.27 / $2,221.27	Facility		$2,221.27	$2,221.27	$2,221.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,851.26 / $3,051.83 / $10,822.09	Professional		$1,851.26	$3,051.83	$10,822.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,602.14 / $2,299.19 / $3,634.30	Professional		$1,602.14	$2,299.19	$3,634.30