Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,803.78 / $1,803.78	Facility		$1,400.00	$1,803.78	$1,803.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,803.78 / $1,893.81 / $2,129.48	Professional		$1,803.78	$1,893.81	$2,129.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,811.21 / $2,069.65 / $2,254.92	Facility		$1,811.21	$2,069.65	$2,254.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,004.37 / $2,004.37 / $2,004.37	Professional		$2,004.37	$2,004.37	$2,004.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.33 / $1,942.33 / $1,942.33	Facility		$1,942.33	$1,942.33	$1,942.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,625.41 / $2,574.01 / $9,821.93	Professional		$1,625.41	$2,574.01	$9,821.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,375.45 / $2,073.67 / $3,044.20	Professional		$1,375.45	$2,073.67	$3,044.20