Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,749.12 / $1,749.12	Facility		$1,400.00	$1,749.12	$1,749.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,468.14 / $1,749.12 / $1,876.91	Professional		$1,468.14	$1,749.12	$1,876.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,941.19 / $2,239.33 / $2,439.79	Facility		$1,941.19	$2,239.33	$2,439.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,168.69 / $2,168.69 / $2,168.69	Professional		$2,168.69	$2,168.69	$2,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,095.19 / $2,095.19 / $2,095.19	Facility		$2,095.19	$2,095.19	$2,095.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,745.25 / $2,530.15 / $9,926.60	Professional		$1,745.25	$2,530.15	$9,926.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,430.92 / $2,098.67 / $2,934.78	Professional		$1,430.92	$2,098.67	$2,934.78