Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,963.74 / $1,963.74	Facility		$1,400.00	$1,963.74	$1,963.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,963.74 / $2,069.96 / $2,317.67	Professional		$1,963.74	$2,069.96	$2,317.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,974.37 / $2,267.52 / $2,470.50	Facility		$1,974.37	$2,267.52	$2,470.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,196.00 / $2,196.00 / $2,196.00	Professional		$2,196.00	$2,196.00	$2,196.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,121.41 / $2,121.41 / $2,121.41	Facility		$2,121.41	$2,121.41	$2,121.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.66 / $2,745.00 / $11,311.10	Professional		$1,764.66	$2,745.00	$11,311.10
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,515.23 / $2,121.33 / $3,131.48	Professional		$1,515.23	$2,121.33	$3,131.48