Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,865.16 / $2,757.23	Facility		$1,400.00	$1,865.16	$2,757.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.59 / $1,865.16 / $2,656.89	Professional		$1,665.59	$1,865.16	$2,656.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,916.90 / $2,135.28 / $2,326.41	Facility		$1,916.90	$2,135.28	$2,326.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,061.04 / $2,067.92 / $2,067.92	Professional		$1,061.04	$2,067.92	$2,067.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,055.25 / $2,055.25 / $2,055.25	Facility		$2,055.25	$2,055.25	$2,055.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,677.29 / $2,519.60 / $5,312.12	Professional		$1,677.29	$2,519.60	$5,312.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,399.79 / $2,053.02 / $3,006.88	Professional		$1,399.79	$2,053.02	$3,006.88