Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,443.50 / $2,443.50	Facility		$1,400.00	$2,443.50	$2,443.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,210.37 / $2,443.50 / $2,915.33	Professional		$2,210.37	$2,443.50	$2,915.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,753.19 / $3,219.07 / $3,507.23	Facility		$2,753.19	$3,219.07	$3,507.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,117.54 / $3,117.54 / $3,117.54	Professional		$3,117.54	$3,117.54	$3,117.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.60 / $2,951.60 / $2,951.60	Facility		$2,951.60	$2,951.60	$2,951.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,470.53 / $3,896.93 / $13,980.98	Professional		$2,470.53	$3,896.93	$13,980.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,144.09 / $3,204.91 / $4,511.97	Professional		$2,144.09	$3,204.91	$4,511.97