Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,466.31 / $1,466.31	Facility		$1,400.00	$1,466.31	$1,466.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.31 / $1,559.79 / $1,777.71	Professional		$1,466.31	$1,559.79	$1,777.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,490.03 / $1,699.49 / $1,851.62	Facility		$1,490.03	$1,699.49	$1,851.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,645.88 / $1,645.88 / $1,645.88	Professional		$1,645.88	$1,645.88	$1,645.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,595.57 / $1,595.57 / $1,595.57	Facility		$1,595.57	$1,595.57	$1,595.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.57 / $2,057.36 / $7,475.24	Professional		$1,349.57	$2,057.36	$7,475.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.70 / $1,172.70 / $1,172.70	Facility		$1,172.70	$1,172.70	$1,172.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.26 / $1,655.06 / $2,261.08	Professional		$1,097.26	$1,655.06	$2,261.08