Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,999.10 / $1,999.10	Facility		$1,400.00	$1,999.10	$1,999.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,999.10 / $2,274.52 / $2,506.76	Professional		$1,999.10	$2,274.52	$2,506.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,052.46 / $2,052.46 / $2,505.02	Facility		$2,052.46	$2,052.46	$2,505.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,226.67 / $2,226.67 / $2,226.67	Professional		$2,226.67	$2,226.67	$2,226.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,327.11 / $2,327.11 / $2,327.11	Facility		$2,327.11	$2,327.11	$2,327.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,662.25 / $2,737.83 / $9,696.06	Professional		$1,662.25	$2,737.83	$9,696.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.61 / $1,641.07 / $2,772.14	Professional		$1,141.61	$1,641.07	$2,772.14