Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,787.40 / $1,787.40	Facility		$1,400.00	$1,787.40	$1,787.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,787.40 / $1,887.70 / $2,117.55	Professional		$1,787.40	$1,887.70	$2,117.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,801.90 / $2,067.62 / $2,252.71	Facility		$1,801.90	$2,067.62	$2,252.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,002.42 / $2,002.42 / $2,002.42	Professional		$2,002.42	$2,002.42	$2,002.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,934.36 / $1,934.36 / $1,934.36	Facility		$1,934.36	$1,934.36	$1,934.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.96 / $2,627.96 / $10,016.28	Professional		$1,612.96	$2,627.96	$10,016.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,436.11 / $2,182.91 / $3,612.87	Professional		$1,436.11	$2,182.91	$3,612.87