Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,623.35 / $1,623.35	Facility		$1,400.00	$1,623.35	$1,623.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.35 / $1,701.58 / $1,912.79	Professional		$1,623.35	$1,701.58	$1,912.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,627.59 / $1,861.22 / $2,027.84	Facility		$1,627.59	$1,861.22	$2,027.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,802.52 / $1,802.52 / $1,802.52	Professional		$1,802.52	$1,802.52	$1,802.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.39 / $1,745.39 / $1,745.39	Facility		$1,745.39	$1,745.39	$1,745.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.01 / $2,277.01 / $9,047.06	Professional		$1,459.01	$2,277.01	$9,047.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.53 / $1,879.01 / $2,784.92	Professional		$1,244.53	$1,879.01	$2,784.92