Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,011.19 / $2,011.19	Facility		$1,400.00	$2,011.19	$2,011.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,823.11 / $2,011.19 / $2,392.37	Professional		$1,823.11	$2,011.19	$2,392.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,270.42 / $2,649.92 / $2,887.12	Facility		$2,270.42	$2,649.92	$2,887.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,566.33 / $2,566.33 / $2,566.33	Professional		$2,566.33	$2,566.33	$2,566.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,434.15 / $2,434.15 / $2,434.15	Facility		$2,434.15	$2,434.15	$2,434.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.83 / $3,207.92 / $11,020.99	Professional		$2,041.83	$3,207.92	$11,020.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,710.89 / $2,549.56 / $3,421.78	Professional		$1,710.89	$2,549.56	$3,421.78