Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,212.67 / $3,381.52	Facility		$1,400.00	$2,212.67	$3,381.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,774.36 / $2,212.67 / $2,660.80	Professional		$1,774.36	$2,212.67	$2,660.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,303.37 / $2,618.75 / $2,853.16	Facility		$2,303.37	$2,618.75	$2,853.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,301.20 / $2,536.14 / $2,536.14	Professional		$1,301.20	$2,536.14	$2,536.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,462.84 / $2,462.84 / $2,462.84	Facility		$2,462.84	$2,462.84	$2,462.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,796.44 / $2,890.42 / $6,057.00	Professional		$1,796.44	$2,890.42	$6,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,493.76 / $2,245.23 / $3,384.86	Professional		$1,493.76	$2,245.23	$3,384.86