Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,818.22 / $1,818.22	Facility		$1,400.00	$1,818.22	$1,818.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,647.38 / $1,818.22 / $2,170.53	Professional		$1,647.38	$1,818.22	$2,170.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,052.79 / $2,396.71 / $2,611.28	Facility		$2,052.79	$2,396.71	$2,611.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,321.14 / $2,321.14 / $2,321.14	Professional		$2,321.14	$2,321.14	$2,321.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.98 / $2,200.98 / $2,200.98	Facility		$2,200.98	$2,200.98	$2,200.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,845.37 / $2,901.42 / $10,047.79	Professional		$1,845.37	$2,901.42	$10,047.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.42 / $2,291.89 / $3,094.85	Professional		$1,547.42	$2,291.89	$3,094.85