Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,204.17 / $2,204.17	Facility		$1,400.00	$2,204.17	$2,204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,204.17 / $2,298.71 / $2,529.42	Professional		$2,204.17	$2,298.71	$2,529.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,193.58 / $2,536.86 / $2,763.95	Facility		$2,193.58	$2,536.86	$2,763.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,456.84 / $2,456.84 / $2,456.84	Professional		$2,456.84	$2,456.84	$2,456.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,357.76 / $2,357.76 / $2,357.76	Facility		$2,357.76	$2,357.76	$2,357.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,939.76 / $3,245.71 / $11,171.60	Professional		$1,939.76	$3,245.71	$11,171.60
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 $1,786.44 / $2,560.58 / $3,809.30	Professional		$1,786.44	$2,560.58	$3,809.30