Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,669.71 / $2,669.71	Facility		$1,400.00	$2,669.71	$2,669.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,669.71 / $2,800.65 / $3,116.95	Professional		$2,669.71	$2,800.65	$3,116.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,670.37 / $2,670.37 / $3,352.17	Facility		$2,670.37	$2,670.37	$3,352.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,979.71 / $2,979.71 / $2,979.71	Professional		$2,979.71	$2,979.71	$2,979.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,871.58 / $2,871.58 / $2,871.58	Facility		$2,871.58	$2,871.58	$2,871.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,374.44 / $3,961.78 / $11,641.79	Professional		$2,374.44	$3,961.78	$11,641.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,148.56 / $3,453.12 / $5,162.12	Professional		$2,148.56	$3,453.12	$5,162.12