Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,136.42 / $2,136.42	Facility		$1,400.00	$2,136.42	$2,136.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,136.42 / $2,255.19 / $2,529.17	Professional		$2,136.42	$2,255.19	$2,529.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,152.86 / $2,470.73 / $2,691.90	Facility		$2,152.86	$2,470.73	$2,691.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,392.80 / $2,392.80 / $2,392.80	Professional		$2,392.80	$2,392.80	$2,392.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.04 / $2,311.04 / $2,311.04	Facility		$2,311.04	$2,311.04	$2,311.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,926.55 / $2,991.00 / $11,121.98	Professional		$1,926.55	$2,991.00	$11,121.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,613.18 / $2,396.05 / $3,550.16	Professional		$1,613.18	$2,396.05	$3,550.16