Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,591.59 / $1,591.59	Facility		$1,400.00	$1,591.59	$1,591.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.59 / $1,661.92 / $1,833.32	Professional		$1,591.59	$1,661.92	$1,833.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,585.88 / $1,831.99 / $1,995.99	Facility		$1,585.88	$1,831.99	$1,995.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,774.21 / $1,774.21 / $1,774.21	Professional		$1,774.21	$1,774.21	$1,774.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,704.40 / $1,704.40 / $1,704.40	Facility		$1,704.40	$1,704.40	$1,704.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.71 / $2,358.16 / $9,320.66	Professional		$1,404.71	$2,358.16	$9,320.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,287.59 / $1,850.93 / $2,882.97	Professional		$1,287.59	$1,850.93	$2,882.97