Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,670.60 / $1,670.60	Facility		$1,400.00	$1,670.60	$1,670.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,670.60 / $1,742.71 / $1,921.77	Professional		$1,670.60	$1,742.71	$1,921.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,924.09 / $2,096.32	Facility		$1,664.70	$1,924.09	$2,096.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,863.40 / $1,863.40 / $1,863.40	Professional		$1,863.40	$1,863.40	$1,863.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.42 / $1,787.42 / $1,787.42	Facility		$1,787.42	$1,787.42	$1,787.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,473.60 / $2,473.52 / $10,036.78	Professional		$1,473.60	$2,473.52	$10,036.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,352.18 / $2,258.73 / $3,103.38	Professional		$1,352.18	$2,258.73	$3,103.38