Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,493.15 / $1,493.15	Facility		$1,400.00	$1,493.15	$1,493.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,493.15 / $1,572.37 / $1,774.58	Professional		$1,493.15	$1,572.37	$1,774.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,504.14 / $1,715.92 / $1,869.52	Facility		$1,504.14	$1,715.92	$1,869.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,661.80 / $1,661.80 / $1,661.80	Professional		$1,661.80	$1,661.80	$1,661.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,612.20 / $1,612.20 / $1,612.20	Facility		$1,612.20	$1,612.20	$1,612.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.56 / $2,113.26 / $8,848.75	Professional		$1,353.56	$2,113.26	$8,848.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.61 / $1,721.52 / $2,502.13	Professional		$1,171.61	$1,721.52	$2,502.13