Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,470.54 / $2,470.54	Facility		$1,400.00	$2,470.54	$2,470.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,470.54 / $2,574.65 / $2,834.33	Professional		$2,470.54	$2,574.65	$2,834.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,458.39 / $2,843.80 / $3,098.36	Facility		$2,458.39	$2,843.80	$3,098.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.10 / $2,754.10 / $2,754.10	Professional		$2,754.10	$2,754.10	$2,754.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,640.96 / $2,640.96 / $2,640.96	Facility		$2,640.96	$2,640.96	$2,640.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,173.23 / $3,627.22 / $12,481.04	Professional		$2,173.23	$3,627.22	$12,481.04
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 $2,003.02 / $3,106.01 / $4,165.81	Professional		$2,003.02	$3,106.01	$4,165.81