Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,861.49 / $1,861.49	Facility		$1,400.00	$1,861.49	$1,861.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,861.49 / $1,994.60 / $2,334.91	Professional		$1,861.49	$1,994.60	$2,334.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,891.08 / $1,891.08 / $2,308.07	Facility		$1,891.08	$1,891.08	$2,308.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,051.62 / $2,051.62 / $2,051.62	Professional		$2,051.62	$2,051.62	$2,051.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,132.96 / $2,132.96 / $2,132.96	Facility		$2,132.96	$2,132.96	$2,132.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,532.26 / $2,608.73 / $8,938.29	Professional		$1,532.26	$2,608.73	$8,938.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,061.50 / $1,895.43 / $3,089.37	Professional		$1,061.50	$1,895.43	$3,089.37