Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,093.57 / $2,093.57	Facility		$1,400.00	$2,093.57	$2,093.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,957.57 / $2,140.82 / $3,456.50	Professional		$1,957.57	$2,140.82	$3,456.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,961.11 / $2,527.44 / $2,674.23	Facility		$1,961.11	$2,527.44	$2,674.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,139.38 / $2,246.62 / $72,899.27	Professional		$2,139.38	$2,246.62	$72,899.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,354.05 / $2,354.05 / $2,354.05	Facility		$2,354.05	$2,354.05	$2,354.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,686.82 / $2,579.84 / $5,107.50	Professional		$1,686.82	$2,579.84	$5,107.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.74 / $2,324.34 / $3,569.63	Professional		$1,584.74	$2,324.34	$3,569.63