Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,515.45 / $1,515.45	Facility		$1,400.00	$1,515.45	$1,515.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.45 / $1,597.00 / $1,803.27	Professional		$1,515.45	$1,597.00	$1,803.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,528.17 / $1,742.81 / $1,898.82	Facility		$1,528.17	$1,742.81	$1,898.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,687.84 / $1,687.84 / $1,687.84	Professional		$1,687.84	$1,687.84	$1,687.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.34 / $1,637.34 / $1,637.34	Facility		$1,637.34	$1,637.34	$1,637.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,376.01 / $2,120.23 / $8,876.29	Professional		$1,376.01	$2,120.23	$8,876.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.86 / $1,746.38 / $2,570.58	Professional		$1,214.86	$1,746.38	$2,570.58