Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,781.62 / $1,781.62	Facility		$1,400.00	$1,781.62	$1,781.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.62 / $2,021.65 / $2,366.66	Professional		$1,781.62	$2,021.65	$2,366.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,898.40 / $1,898.40 / $2,316.98	Facility		$1,898.40	$1,898.40	$2,316.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,059.55 / $2,059.55 / $2,059.55	Professional		$2,059.55	$2,059.55	$2,059.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.40 / $2,068.40 / $2,068.40	Facility		$2,068.40	$2,068.40	$2,068.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.97 / $2,597.36 / $9,198.68	Professional		$1,576.97	$2,597.36	$9,198.68
United Facility/Professional Professional Modifier Low / Median / High Price $957.61 / $1,690.00 / $2,688.63	Professional		$957.61	$1,690.00	$2,688.63