Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,373.98 / $2,373.98	Facility		$1,400.00	$2,373.98	$2,373.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,373.98 / $2,504.30 / $2,805.25	Professional		$2,373.98	$2,504.30	$2,805.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,388.44 / $2,742.43 / $2,987.93	Facility		$2,388.44	$2,742.43	$2,987.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,655.94 / $2,655.94 / $2,655.94	Professional		$2,655.94	$2,655.94	$2,655.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,566.37 / $2,566.37 / $2,566.37	Facility		$2,566.37	$2,566.37	$2,566.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,135.69 / $3,345.43 / $20,859.46	Professional		$2,135.69	$3,345.43	$20,859.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,861.10 / $2,754.89 / $4,088.60	Professional		$1,861.10	$2,754.89	$4,088.60