Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,969.50 / $1,969.50	Facility		$1,400.00	$1,969.50	$1,969.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.50 / $2,081.48 / $2,337.46	Professional		$1,969.50	$2,081.48	$2,337.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,986.18 / $2,277.41 / $2,481.27	Facility		$1,986.18	$2,277.41	$2,481.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,205.58 / $2,205.58 / $2,205.58	Professional		$2,205.58	$2,205.58	$2,205.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,132.71 / $2,132.71 / $2,132.71	Facility		$2,132.71	$2,132.71	$2,132.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,779.99 / $2,871.96 / $18,252.03	Professional		$1,779.99	$2,871.96	$18,252.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.71 / $2,278.02 / $3,331.12	Professional		$1,584.71	$2,278.02	$3,331.12