Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,795.90 / $2,735.33	Facility		$1,400.00	$1,795.90	$2,735.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.90 / $1,795.90 / $2,149.91	Professional		$1,501.90	$1,795.90	$2,149.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,855.53 / $2,118.31 / $2,307.92	Facility		$1,855.53	$2,118.31	$2,307.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,052.47 / $2,051.50 / $2,051.50	Professional		$1,052.47	$2,051.50	$2,051.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,988.99 / $1,988.99 / $1,988.99	Facility		$1,988.99	$1,988.99	$1,988.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.45 / $2,350.77 / $4,939.50	Professional		$1,517.45	$2,350.77	$4,939.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,367.08 / $1,934.97 / $2,824.41	Professional		$1,367.08	$1,934.97	$2,824.41