Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,531.09 / $1,531.09	Facility		$1,400.00	$1,531.09	$1,531.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.61 / $1,544.63 / $1,716.48	Professional		$1,381.61	$1,544.63	$1,716.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,601.92 / $1,779.04 / $1,938.28	Facility		$1,601.92	$1,779.04	$1,938.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,722.91 / $1,722.91 / $1,722.91	Professional		$1,722.91	$1,722.91	$1,722.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,714.18 / $1,714.18 / $1,714.18	Facility		$1,714.18	$1,714.18	$1,714.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,462.95 / $2,153.65 / $9,417.98	Professional		$1,462.95	$2,153.65	$9,417.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.56 / $1,773.24 / $2,838.13	Professional		$1,233.56	$1,773.24	$2,838.13