Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,191.88 / $3,338.06	Facility		$1,400.00	$2,191.88	$3,338.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.75 / $2,191.88 / $2,617.15	Professional		$1,807.75	$2,191.88	$2,617.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,258.52 / $2,585.09 / $2,816.49	Facility		$2,258.52	$2,585.09	$2,816.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,284.48 / $2,503.55 / $2,503.55	Professional		$1,284.48	$2,503.55	$2,503.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,420.59 / $2,420.59 / $2,420.59	Facility		$2,420.59	$2,420.59	$2,420.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,773.34 / $2,882.29 / $6,051.50	Professional		$1,773.34	$2,882.29	$6,051.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,520.03 / $2,128.04 / $3,263.86	Professional		$1,520.03	$2,128.04	$3,263.86