Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,045.12 / $3,114.24	Facility		$1,400.00	$2,045.12	$3,114.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,734.65 / $2,045.12 / $2,442.52	Professional		$1,734.65	$2,045.12	$2,442.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,107.75 / $2,411.76 / $2,627.64	Facility		$2,107.75	$2,411.76	$2,627.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,198.45 / $2,335.67 / $2,335.67	Professional		$1,198.45	$2,335.67	$2,335.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,258.30 / $2,258.30 / $2,258.30	Facility		$2,258.30	$2,258.30	$2,258.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,747.46 / $2,680.75 / $5,592.70	Professional		$1,747.46	$2,680.75	$5,592.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,561.70 / $2,267.58 / $3,564.68	Professional		$1,561.70	$2,267.58	$3,564.68