Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,437.52 / $1,437.52	Facility		$1,400.00	$1,437.52	$1,437.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,321.89 / $1,480.02 / $1,661.94	Professional		$1,321.89	$1,480.02	$1,661.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,565.64 / $1,787.17 / $1,947.16	Facility		$1,565.64	$1,787.17	$1,947.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,730.81 / $1,730.81 / $1,730.81	Professional		$1,730.81	$1,730.81	$1,730.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.87 / $1,675.87 / $1,675.87	Facility		$1,675.87	$1,675.87	$1,675.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,416.44 / $2,163.50 / $8,185.86	Professional		$1,416.44	$2,163.50	$8,185.86
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 $1,227.34 / $1,565.23 / $2,379.19	Professional		$1,227.34	$1,565.23	$2,379.19