Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,012.14 / $2,012.14	Facility		$1,400.00	$2,012.14	$2,012.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,012.14 / $2,098.42 / $2,311.39	Professional		$2,012.14	$2,098.42	$2,311.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,003.04 / $2,315.98 / $2,523.31	Facility		$2,003.04	$2,315.98	$2,523.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,242.94 / $2,242.94 / $2,242.94	Professional		$2,242.94	$2,242.94	$2,242.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,152.30 / $2,152.30 / $2,152.30	Facility		$2,152.30	$2,152.30	$2,152.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,771.92 / $2,980.13 / $10,036.32	Professional		$1,771.92	$2,980.13	$10,036.32
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,629.94 / $2,336.08 / $3,808.81	Professional		$1,629.94	$2,336.08	$3,808.81