Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,438.69 / $2,438.69	Facility		$1,400.00	$2,438.69	$2,438.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,438.69 / $2,578.65 / $2,919.99	Professional		$2,438.69	$2,578.65	$2,919.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,462.19 / $2,818.56 / $3,070.86	Facility		$2,462.19	$2,818.56	$3,070.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,729.65 / $2,729.65 / $2,729.65	Professional		$2,729.65	$2,729.65	$2,729.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,639.09 / $2,639.09 / $2,639.09	Facility		$2,639.09	$2,639.09	$2,639.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,933.51 / $3,293.19 / $10,852.90	Professional		$1,933.51	$3,293.19	$10,852.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.17 / $2,088.30 / $3,412.36	Professional		$1,152.17	$2,088.30	$3,412.36