Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,860.48 / $1,860.48	Facility		$1,400.00	$1,860.48	$1,860.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,860.48 / $1,972.51 / $2,221.10	Professional		$1,860.48	$1,972.51	$2,221.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,883.33 / $2,156.09 / $2,349.08	Facility		$1,883.33	$2,156.09	$2,349.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,088.07 / $2,088.07 / $2,088.07	Professional		$2,088.07	$2,088.07	$2,088.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,020.61 / $2,020.61 / $2,020.61	Facility		$2,020.61	$2,020.61	$2,020.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.05 / $2,610.10 / $9,809.08	Professional		$1,692.05	$2,610.10	$9,809.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,424.97 / $2,054.09 / $3,137.45	Professional		$1,424.97	$2,054.09	$3,137.45