Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,774.44 / $2,691.98	Facility		$1,400.00	$1,774.44	$2,691.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.74 / $1,774.44 / $2,187.09	Professional		$1,610.74	$1,774.44	$2,187.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,876.07 / $2,084.73 / $2,271.36	Facility		$1,876.07	$2,084.73	$2,271.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,035.75 / $2,018.99 / $2,018.99	Professional		$1,035.75	$2,018.99	$2,018.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,014.84 / $2,014.84 / $2,014.84	Facility		$2,014.84	$2,014.84	$2,014.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,614.57 / $2,386.71 / $5,034.59	Professional		$1,614.57	$2,386.71	$5,034.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,362.51 / $1,913.05 / $3,255.07	Professional		$1,362.51	$1,913.05	$3,255.07