Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,706.15 / $1,706.15	Facility		$1,400.00	$1,706.15	$1,706.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.03 / $1,797.37 / $2,311.23	Professional		$1,644.03	$1,797.37	$2,311.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.13 / $1,900.13 / $2,319.19	Facility		$1,900.13	$1,900.13	$2,319.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,061.50 / $2,061.50 / $2,061.50	Professional		$2,061.50	$2,061.50	$2,061.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,904.81 / $1,904.81 / $1,904.81	Facility		$1,904.81	$1,904.81	$1,904.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.65 / $2,254.67 / $7,452.49	Professional		$1,277.65	$2,254.67	$7,452.49
United Facility/Professional Professional Modifier Low / Median / High Price $901.35 / $1,383.24 / $2,605.07	Professional		$901.35	$1,383.24	$2,605.07