Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,280.13 / $3,458.42	Facility		$1,400.00	$2,280.13	$3,458.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,909.69 / $2,280.13 / $2,725.63	Professional		$1,909.69	$2,280.13	$2,725.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,347.12 / $2,678.29 / $2,918.04	Facility		$2,347.12	$2,678.29	$2,918.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,330.68 / $2,593.81 / $2,593.81	Professional		$1,330.68	$2,593.81	$2,593.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,515.92 / $2,515.92 / $2,515.92	Facility		$2,515.92	$2,515.92	$2,515.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,932.56 / $2,941.33 / $5,969.53	Professional		$1,932.56	$2,941.33	$5,969.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,712.55 / $2,337.42 / $3,601.72	Professional		$1,712.55	$2,337.42	$3,601.72