Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,437.47 / $1,437.47	Facility		$1,400.00	$1,437.47	$1,437.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,437.47 / $1,523.04 / $1,715.23	Professional		$1,437.47	$1,523.04	$1,715.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,657.56 / $1,657.56 / $1,805.94	Facility		$1,657.56	$1,657.56	$1,805.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,605.28 / $1,605.28 / $1,605.28	Professional		$1,605.28	$1,605.28	$1,605.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,560.95 / $1,560.95 / $1,560.95	Facility		$1,560.95	$1,560.95	$1,560.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.57 / $2,006.59 / $8,455.79	Professional		$1,302.57	$2,006.59	$8,455.79
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.36 / $1,656.53 / $2,310.83	Professional		$1,152.36	$1,656.53	$2,310.83