Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,432.84 / $1,700.00	Facility		$1,400.00	$1,432.84	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,293.98 / $1,446.18 / $1,608.50	Professional		$1,293.98	$1,446.18	$1,608.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,498.50 / $1,663.15 / $1,812.02	Facility		$1,498.50	$1,663.15	$1,812.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,610.69 / $1,610.69 / $1,610.69	Professional		$1,610.69	$1,610.69	$1,610.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,604.65 / $1,604.65 / $1,604.65	Facility		$1,604.65	$1,604.65	$1,604.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.82 / $2,073.84 / $9,460.19	Professional		$1,369.82	$2,073.84	$9,460.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.90 / $1,742.06 / $2,575.39	Professional		$1,153.90	$1,742.06	$2,575.39