Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,716.30 / $1,716.30	Facility		$1,400.00	$1,716.30	$1,716.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,716.30 / $1,790.05 / $1,973.58	Professional		$1,716.30	$1,790.05	$1,973.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,710.13 / $1,976.71 / $2,153.66	Facility		$1,710.13	$1,976.71	$2,153.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,914.36 / $1,914.36 / $1,914.36	Professional		$1,914.36	$1,914.36	$1,914.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,835.94 / $1,835.94 / $1,835.94	Facility		$1,835.94	$1,835.94	$1,835.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.86 / $2,540.57 / $10,079.01	Professional		$1,513.86	$2,540.57	$10,079.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.90 / $2,011.13 / $3,134.32	Professional		$1,388.90	$2,011.13	$3,134.32