Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,972.67 / $1,972.67	Facility		$1,400.00	$1,972.67	$1,972.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,788.68 / $1,972.67 / $2,358.80	Professional		$1,788.68	$1,972.67	$2,358.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,227.76 / $2,599.48 / $2,832.18	Facility		$2,227.76	$2,599.48	$2,832.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,517.48 / $2,517.48 / $2,517.48	Professional		$2,517.48	$2,517.48	$2,517.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,388.59 / $2,388.59 / $2,388.59	Facility		$2,388.59	$2,388.59	$2,388.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,004.02 / $3,146.86 / $10,964.07	Professional		$2,004.02	$3,146.86	$10,964.07
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,705.68 / $2,519.63 / $4,875.82	Professional		$1,705.68	$2,519.63	$4,875.82