Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,593.73 / $1,593.73	Facility		$1,400.00	$1,593.73	$1,593.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,593.73 / $1,664.93 / $1,835.70	Professional		$1,593.73	$1,664.93	$1,835.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,588.77 / $1,835.28 / $1,999.57	Facility		$1,588.77	$1,835.28	$1,999.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,777.39 / $1,777.39 / $1,777.39	Professional		$1,777.39	$1,777.39	$1,777.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,707.52 / $1,707.52 / $1,707.52	Facility		$1,707.52	$1,707.52	$1,707.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.28 / $2,362.39 / $9,265.57	Professional		$1,407.28	$2,362.39	$9,265.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.94 / $1,877.45 / $2,918.27	Professional		$1,289.94	$1,877.45	$2,918.27