Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,060.58 / $2,060.58	Facility		$1,400.00	$2,060.58	$2,060.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,060.58 / $2,207.19 / $2,583.67	Professional		$2,060.58	$2,207.19	$2,583.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,101.84 / $2,101.84 / $2,565.27	Facility		$2,101.84	$2,101.84	$2,565.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,280.23 / $2,280.23 / $2,280.23	Professional		$2,280.23	$2,280.23	$2,280.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,369.92 / $2,369.92 / $2,369.92	Facility		$2,369.92	$2,369.92	$2,369.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.60 / $2,887.68 / $9,931.46	Professional		$1,702.60	$2,887.68	$9,931.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.36 / $1,902.40 / $3,170.66	Professional		$1,138.36	$1,902.40	$3,170.66