Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,469.28 / $2,469.28	Facility		$1,400.00	$2,469.28	$2,469.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,469.28 / $2,597.39 / $2,911.76	Professional		$2,469.28	$2,597.39	$2,911.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,483.66 / $2,853.62 / $3,109.06	Facility		$2,483.66	$2,853.62	$3,109.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,763.61 / $2,763.61 / $2,763.61	Professional		$2,763.61	$2,763.61	$2,763.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,667.77 / $2,667.77 / $2,667.77	Facility		$2,667.77	$2,667.77	$2,667.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,218.60 / $3,454.52 / $22,317.42	Professional		$2,218.60	$3,454.52	$22,317.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,908.67 / $2,863.76 / $4,194.97	Professional		$1,908.67	$2,863.76	$4,194.97