Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,115.44 / $2,115.44	Facility		$1,400.00	$2,115.44	$2,115.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,115.44 / $2,234.53 / $2,503.94	Professional		$2,115.44	$2,234.53	$2,503.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,132.11 / $2,446.69 / $2,665.72	Facility		$2,132.11	$2,446.69	$2,665.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,369.53 / $2,369.53 / $2,369.53	Professional		$2,369.53	$2,369.53	$2,369.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.79 / $2,289.79 / $2,289.79	Facility		$2,289.79	$2,289.79	$2,289.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.16 / $2,961.92 / $10,228.03	Professional		$1,908.16	$2,961.92	$10,228.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,667.17 / $2,350.98 / $3,470.85	Professional		$1,667.17	$2,350.98	$3,470.85