Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,910.21 / $1,910.21	Facility		$1,400.00	$1,910.21	$1,910.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,729.68 / $1,910.21 / $2,309.73	Professional		$1,729.68	$1,910.21	$2,309.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,156.23 / $2,518.78 / $2,744.25	Facility		$2,156.23	$2,518.78	$2,744.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,439.34 / $2,439.34 / $2,439.34	Professional		$2,439.34	$2,439.34	$2,439.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.25 / $2,311.25 / $2,311.25	Facility		$2,311.25	$2,311.25	$2,311.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,937.04 / $3,049.16 / $10,299.36	Professional		$1,937.04	$3,049.16	$10,299.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,582.30 / $2,382.78 / $3,252.45	Professional		$1,582.30	$2,382.78	$3,252.45