Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,863.35 / $1,863.35	Facility		$1,400.00	$1,863.35	$1,863.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,863.35 / $1,943.51 / $2,142.33	Professional		$1,863.35	$1,943.51	$2,142.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,855.37 / $2,144.71 / $2,336.69	Facility		$1,855.37	$2,144.71	$2,336.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,077.06 / $2,077.06 / $2,077.06	Professional		$2,077.06	$2,077.06	$2,077.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,993.37 / $1,993.37 / $1,993.37	Facility		$1,993.37	$1,993.37	$1,993.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,641.89 / $2,759.39 / $11,026.49	Professional		$1,641.89	$2,759.39	$11,026.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,507.80 / $2,167.46 / $3,379.93	Professional		$1,507.80	$2,167.46	$3,379.93