Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,871.22 / $2,851.10	Facility		$1,400.00	$1,871.22	$2,851.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.22 / $1,871.22 / $2,237.19	Professional		$1,563.22	$1,871.22	$2,237.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,931.33 / $2,207.98 / $2,405.62	Facility		$1,931.33	$2,207.98	$2,405.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,097.08 / $2,138.33 / $2,138.33	Professional		$1,097.08	$2,138.33	$2,138.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.42 / $2,068.42 / $2,068.42	Facility		$2,068.42	$2,068.42	$2,068.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,578.32 / $2,473.61 / $5,185.42	Professional		$1,578.32	$2,473.61	$5,185.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.05 / $1,871.04 / $2,944.62	Professional		$1,401.05	$1,871.04	$2,944.62