Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,627.85 / $1,627.85	Facility		$1,400.00	$1,627.85	$1,627.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,627.85 / $1,711.32 / $1,927.26	Professional		$1,627.85	$1,711.32	$1,927.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,638.17 / $1,870.80 / $2,038.26	Facility		$1,638.17	$1,870.80	$2,038.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,811.78 / $1,811.78 / $1,811.78	Professional		$1,811.78	$1,811.78	$1,811.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Facility		$1,755.00	$1,755.00	$1,755.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.80 / $2,312.64 / $9,498.77	Professional		$1,471.80	$2,312.64	$9,498.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,271.70 / $1,799.41 / $2,762.53	Professional		$1,271.70	$1,799.41	$2,762.53