Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,550.20 / $1,550.20	Facility		$1,400.00	$1,550.20	$1,550.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.14 / $1,629.08 / $1,863.97	Professional		$1,452.14	$1,629.08	$1,863.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,738.36 / $1,930.79 / $2,103.62	Facility		$1,738.36	$1,930.79	$2,103.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,869.89 / $1,869.89 / $1,869.89	Professional		$1,869.89	$1,869.89	$1,869.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.66 / $1,860.66 / $1,860.66	Facility		$1,860.66	$1,860.66	$1,860.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.11 / $2,337.36 / $15,376.51	Professional		$1,587.11	$2,337.36	$15,376.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,338.70 / $1,898.63 / $2,818.41	Professional		$1,338.70	$1,898.63	$2,818.41