Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,543.89 / $3,876.61	Facility		$1,400.00	$2,543.89	$3,876.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,131.96 / $2,543.89 / $3,039.93	Professional		$2,131.96	$2,543.89	$3,039.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,624.18 / $3,002.15 / $3,270.89	Facility		$2,624.18	$3,002.15	$3,270.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,491.78 / $2,907.46 / $2,907.46	Professional		$1,491.78	$2,907.46	$2,907.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,810.59 / $2,810.59 / $2,810.59	Facility		$2,810.59	$2,810.59	$2,810.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,122.02 / $3,357.09 / $7,052.53	Professional		$2,122.02	$3,357.09	$7,052.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,910.54 / $2,616.71 / $3,993.82	Professional		$1,910.54	$2,616.71	$3,993.82