Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,710.24 / $1,710.24	Facility		$1,400.00	$1,710.24	$1,710.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,710.24 / $1,777.96 / $2,046.61	Professional		$1,710.24	$1,777.96	$2,046.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,733.45 / $1,982.90 / $2,160.41	Facility		$1,733.45	$1,982.90	$2,160.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,920.36 / $1,920.36 / $1,920.36	Professional		$1,920.36	$1,920.36	$1,920.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.74 / $1,860.74 / $1,860.74	Facility		$1,860.74	$1,860.74	$1,860.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,559.03 / $2,431.19 / $10,785.94	Professional		$1,559.03	$2,431.19	$10,785.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,328.24 / $1,993.49 / $2,979.34	Professional		$1,328.24	$1,993.49	$2,979.34