Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,039.54 / $2,039.54	Facility		$1,400.00	$2,039.54	$2,039.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,039.54 / $2,149.94 / $2,405.91	Professional		$2,039.54	$2,149.94	$2,405.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,051.19 / $2,356.15 / $2,567.07	Facility		$2,051.19	$2,356.15	$2,567.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,281.84 / $2,281.84 / $2,281.84	Professional		$2,281.84	$2,281.84	$2,281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,203.40 / $2,203.40 / $2,203.40	Facility		$2,203.40	$2,203.40	$2,203.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,832.99 / $2,730.78 / $17,095.20	Professional		$1,832.99	$2,730.78	$17,095.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,541.81 / $2,364.11 / $3,273.73	Professional		$1,541.81	$2,364.11	$3,273.73