Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,424.00 / $1,424.00	Facility		$1,400.00	$1,424.00	$1,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.18 / $1,424.00 / $1,703.18	Professional		$1,229.18	$1,424.00	$1,703.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,620.30 / $1,809.14 / $1,971.09	Facility		$1,620.30	$1,809.14	$1,971.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,752.08 / $1,752.08 / $1,752.08	Professional		$1,752.08	$1,752.08	$1,752.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.08 / $1,743.08 / $1,743.08	Facility		$1,743.08	$1,743.08	$1,743.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,488.26 / $2,044.09 / $8,173.01	Professional		$1,488.26	$2,044.09	$8,173.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,168.06 / $1,648.04 / $2,419.07	Professional		$1,168.06	$1,648.04	$2,419.07