Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,722.56 / $1,722.56	Facility		$1,400.00	$1,722.56	$1,722.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,611.51 / $1,802.79 / $2,069.53	Professional		$1,611.51	$1,802.79	$2,069.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,923.61 / $2,137.15 / $2,328.44	Facility		$1,923.61	$2,137.15	$2,328.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,069.73 / $2,069.73 / $2,069.73	Professional		$2,069.73	$2,069.73	$2,069.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.34 / $2,059.34 / $2,059.34	Facility		$2,059.34	$2,059.34	$2,059.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.02 / $2,587.17 / $10,547.24	Professional		$1,755.02	$2,587.17	$10,547.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.78 / $2,224.82 / $4,683.07	Professional		$1,488.78	$2,224.82	$4,683.07