Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,696.99 / $1,696.99	Facility		$1,400.00	$1,696.99	$1,696.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.99 / $1,817.48 / $2,128.15	Professional		$1,696.99	$1,817.48	$2,128.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,728.67 / $1,728.67 / $2,109.92	Facility		$1,728.67	$1,728.67	$2,109.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,875.49 / $1,875.49 / $1,875.49	Professional		$1,875.49	$1,875.49	$1,875.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.50 / $1,859.50 / $1,859.50	Facility		$1,859.50	$1,859.50	$1,859.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.95 / $2,345.21 / $7,751.86	Professional		$1,328.95	$2,345.21	$7,751.86
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,059.79 / $1,854.64 / $2,930.83	Professional		$1,059.79	$1,854.64	$2,930.83