Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,897.75 / $1,897.75	Facility		$1,400.00	$1,897.75	$1,897.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,721.51 / $1,897.75 / $2,273.36	Professional		$1,721.51	$1,897.75	$2,273.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,143.90 / $2,500.71 / $2,724.57	Facility		$2,143.90	$2,500.71	$2,724.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,421.84 / $2,421.84 / $2,421.84	Professional		$2,421.84	$2,421.84	$2,421.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,297.96 / $2,297.96 / $2,297.96	Facility		$2,297.96	$2,297.96	$2,297.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.50 / $3,027.29 / $10,407.70	Professional		$1,929.50	$3,027.29	$10,407.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,632.18 / $2,297.94 / $3,506.39	Professional		$1,632.18	$2,297.94	$3,506.39