Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,912.58 / $1,912.58	Facility		$1,400.00	$1,912.58	$1,912.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.91 / $1,959.52 / $2,289.15	Professional		$1,658.91	$1,959.52	$2,289.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,938.48 / $2,217.48 / $2,415.98	Facility		$1,938.48	$2,217.48	$2,415.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,147.54 / $2,147.54 / $2,147.54	Professional		$2,147.54	$2,147.54	$2,147.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,079.61 / $2,079.61 / $2,079.61	Facility		$2,079.61	$2,079.61	$2,079.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.56 / $2,696.52 / $11,472.70	Professional		$1,743.56	$2,696.52	$11,472.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,486.74 / $2,205.94 / $3,290.11	Professional		$1,486.74	$2,205.94	$3,290.11