Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,030.75 / $2,030.75	Facility		$1,400.00	$2,030.75	$2,030.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,030.75 / $2,145.21 / $2,405.16	Professional		$2,030.75	$2,145.21	$2,405.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,047.06 / $2,348.73 / $2,558.98	Facility		$2,047.06	$2,348.73	$2,558.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,274.65 / $2,274.65 / $2,274.65	Professional		$2,274.65	$2,274.65	$2,274.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,198.23 / $2,198.23 / $2,198.23	Facility		$2,198.23	$2,198.23	$2,198.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,832.47 / $2,885.73 / $18,424.62	Professional		$1,832.47	$2,885.73	$18,424.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,636.51 / $2,665.69 / $5,044.45	Professional		$1,636.51	$2,665.69	$5,044.45