Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,424.98 / $2,424.98	Facility		$1,400.00	$2,424.98	$2,424.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,424.98 / $2,554.62 / $2,856.73	Professional		$2,424.98	$2,554.62	$2,856.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,436.75 / $2,800.42 / $3,051.09	Facility		$2,436.75	$2,800.42	$3,051.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,712.08 / $2,712.08 / $2,712.08	Professional		$2,712.08	$2,712.08	$2,712.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,618.35 / $2,618.35 / $2,618.35	Facility		$2,618.35	$2,618.35	$2,618.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,175.77 / $3,390.10 / $18,571.52	Professional		$2,175.77	$3,390.10	$18,571.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,835.20 / $2,813.97 / $4,036.64	Professional		$1,835.20	$2,813.97	$4,036.64