Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,454.95 / $2,218.80	Facility		$1,400.00	$1,454.95	$2,218.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.14 / $1,454.95 / $1,742.57	Professional		$1,213.14	$1,454.95	$1,742.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,505.04 / $1,718.29 / $1,872.11	Facility		$1,505.04	$1,718.29	$1,872.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $853.73 / $1,664.10 / $1,664.10	Professional		$853.73	$1,664.10	$1,664.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,612.09 / $1,612.09 / $1,612.09	Facility		$1,612.09	$1,612.09	$1,612.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,222.27 / $1,941.44 / $4,033.63	Professional		$1,222.27	$1,941.44	$4,033.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.40 / $1,495.70 / $2,291.41	Professional		$1,109.40	$1,495.70	$2,291.41