Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,106.57 / $2,106.57	Facility		$1,400.00	$2,106.57	$2,106.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,106.57 / $2,225.52 / $2,494.91	Professional		$2,106.57	$2,225.52	$2,494.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,123.16 / $2,436.56 / $2,654.67	Facility		$2,123.16	$2,436.56	$2,654.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,359.69 / $2,359.69 / $2,359.69	Professional		$2,359.69	$2,359.69	$2,359.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.50 / $2,280.50 / $2,280.50	Facility		$2,280.50	$2,280.50	$2,280.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.13 / $3,133.76 / $11,164.45	Professional		$1,900.13	$3,133.76	$11,164.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,671.82 / $2,752.99 / $5,222.87	Professional		$1,671.82	$2,752.99	$5,222.87