Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,138.37 / $3,209.04	Facility		$1,400.00	$2,138.37	$3,209.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.83 / $2,138.37 / $2,652.17	Professional		$2,015.83	$2,138.37	$2,652.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,070.96 / $2,253.61 / $2,707.63	Facility		$2,070.96	$2,253.61	$2,707.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,234.89 / $2,406.78 / $2,406.78	Professional		$1,234.89	$2,406.78	$2,406.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,429.19 / $2,429.19 / $2,429.19	Facility		$2,429.19	$2,429.19	$2,429.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,785.47 / $2,852.81 / $5,999.31	Professional		$1,785.47	$2,852.81	$5,999.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,665.81 / $2,357.69 / $3,623.17	Professional		$1,665.81	$2,357.69	$3,623.17