Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,860.63 / $2,822.45	Facility		$1,400.00	$1,860.63	$2,822.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.71 / $1,860.63 / $2,290.06	Professional		$1,712.71	$1,860.63	$2,290.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,964.29 / $2,185.78 / $2,381.44	Facility		$1,964.29	$2,185.78	$2,381.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,085.93 / $2,116.84 / $2,116.84	Professional		$1,085.93	$2,116.84	$2,116.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,108.35 / $2,108.35 / $2,108.35	Facility		$2,108.35	$2,108.35	$2,108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.37 / $2,569.85 / $5,290.32	Professional		$1,723.37	$2,569.85	$5,290.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,439.49 / $2,029.63 / $3,028.19	Professional		$1,439.49	$2,029.63	$3,028.19