Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,646.48 / $2,646.48	Facility		$1,400.00	$2,646.48	$2,646.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,646.48 / $2,842.46 / $3,329.79	Professional		$2,646.48	$2,842.46	$3,329.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,608.14 / $2,608.14 / $3,183.29	Facility		$2,608.14	$2,608.14	$3,183.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,829.59 / $2,829.59 / $2,829.59	Professional		$2,829.59	$2,829.59	$2,829.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,281.27 / $3,281.27 / $3,281.27	Facility		$3,281.27	$3,281.27	$3,281.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,357.46 / $3,882.89 / $13,751.27	Professional		$2,357.46	$3,882.89	$13,751.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,896.05 / $2,705.04 / $4,046.79	Professional		$1,896.05	$2,705.04	$4,046.79