Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,965.31 / $1,965.31	Facility		$1,400.00	$1,965.31	$1,965.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,965.31 / $2,076.51 / $2,329.46	Professional		$1,965.31	$2,076.51	$2,329.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,981.95 / $2,273.75 / $2,477.28	Facility		$1,981.95	$2,273.75	$2,477.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,202.02 / $2,202.02 / $2,202.02	Professional		$2,202.02	$2,202.02	$2,202.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,127.80 / $2,127.80 / $2,127.80	Facility		$2,127.80	$2,127.80	$2,127.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,774.58 / $2,752.53 / $11,305.61	Professional		$1,774.58	$2,752.53	$11,305.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,502.65 / $2,177.64 / $3,459.74	Professional		$1,502.65	$2,177.64	$3,459.74