Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,188.13 / $2,188.13	Facility		$1,400.00	$2,188.13	$2,188.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,188.13 / $2,311.12 / $2,589.41	Professional		$2,188.13	$2,311.12	$2,589.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,205.37 / $2,531.30 / $2,757.90	Facility		$2,205.37	$2,531.30	$2,757.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,451.46 / $2,451.46 / $2,451.46	Professional		$2,451.46	$2,451.46	$2,451.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,368.28 / $2,368.28 / $2,368.28	Facility		$2,368.28	$2,368.28	$2,368.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,973.25 / $3,254.84 / $11,605.67	Professional		$1,973.25	$3,254.84	$11,605.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.47 / $2,536.58 / $3,913.68	Professional		$1,737.47	$2,536.58	$3,913.68