Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,903.96 / $1,903.96	Facility		$1,400.00	$1,903.96	$1,903.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,903.96 / $2,019.35 / $2,272.17	Professional		$1,903.96	$2,019.35	$2,272.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,927.26 / $2,206.40 / $2,403.90	Facility		$1,927.26	$2,206.40	$2,403.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,136.80 / $2,136.80 / $2,136.80	Professional		$2,136.80	$2,136.80	$2,136.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.61 / $2,068.61 / $2,068.61	Facility		$2,068.61	$2,068.61	$2,068.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.29 / $2,711.68 / $11,964.80	Professional		$1,731.29	$2,711.68	$11,964.80
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,530.03 / $2,321.26 / $3,374.56	Professional		$1,530.03	$2,321.26	$3,374.56