Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,846.34 / $2,811.58	Facility		$1,400.00	$1,846.34	$2,811.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.99 / $1,846.34 / $2,207.84	Professional		$1,552.99	$1,846.34	$2,207.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,904.57 / $2,177.38 / $2,372.27	Facility		$1,904.57	$2,177.38	$2,372.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,081.95 / $2,108.69 / $2,108.69	Professional		$1,081.95	$2,108.69	$2,108.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,040.31 / $2,040.31 / $2,040.31	Facility		$2,040.31	$2,040.31	$2,040.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,558.15 / $2,437.77 / $5,102.93	Professional		$1,558.15	$2,437.77	$5,102.93
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.67 / $1,864.51 / $2,907.43	Professional		$1,366.67	$1,864.51	$2,907.43