Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,994.02 / $1,994.02	Facility		$1,400.00	$1,994.02	$1,994.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.76 / $1,994.02 / $2,390.81	Professional		$1,807.76	$1,994.02	$2,390.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,251.03 / $2,626.86 / $2,862.00	Facility		$2,251.03	$2,626.86	$2,862.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,544.00 / $2,544.00 / $2,544.00	Professional		$2,544.00	$2,544.00	$2,544.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,413.63 / $2,413.63 / $2,413.63	Facility		$2,413.63	$2,413.63	$2,413.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,024.70 / $3,180.01 / $11,096.28	Professional		$2,024.70	$3,180.01	$11,096.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,684.17 / $2,414.76 / $3,392.00	Professional		$1,684.17	$2,414.76	$3,392.00