Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,691.13 / $1,691.13	Facility		$1,400.00	$1,691.13	$1,691.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.74 / $1,597.20 / $1,869.55	Professional		$1,482.74	$1,597.20	$1,869.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,729.99 / $1,995.43 / $2,174.05	Facility		$1,729.99	$1,995.43	$2,174.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,932.49 / $1,932.49 / $1,932.49	Professional		$1,932.49	$1,932.49	$1,932.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,861.21 / $1,861.21 / $1,861.21	Facility		$1,861.21	$1,861.21	$1,861.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.40 / $2,415.96 / $8,933.20	Professional		$1,536.40	$2,415.96	$8,933.20
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,329.37 / $2,029.24 / $4,204.95	Professional		$1,329.37	$2,029.24	$4,204.95