Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,403.23 / $1,403.23	Facility		$1,400.00	$1,403.23	$1,403.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.23 / $1,465.25 / $1,618.77	Professional		$1,403.23	$1,465.25	$1,618.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,399.49 / $1,616.66 / $1,761.39	Facility		$1,399.49	$1,616.66	$1,761.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,565.68 / $1,565.68 / $1,565.68	Professional		$1,565.68	$1,565.68	$1,565.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.68 / $1,502.68 / $1,502.68	Facility		$1,502.68	$1,502.68	$1,502.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.08 / $2,078.17 / $8,250.12	Professional		$1,240.08	$2,078.17	$8,250.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.60 / $1,661.40 / $2,579.34	Professional		$1,134.60	$1,661.40	$2,579.34