Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,061.16 / $2,061.16	Facility		$1,400.00	$2,061.16	$2,061.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,867.51 / $2,061.16 / $2,445.90	Professional		$1,867.51	$2,061.16	$2,445.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,325.48 / $2,715.25 / $2,958.30	Facility		$2,325.48	$2,715.25	$2,958.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,629.60 / $2,629.60 / $2,629.60	Professional		$2,629.60	$2,629.60	$2,629.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,494.13 / $2,494.13 / $2,494.13	Facility		$2,494.13	$2,494.13	$2,494.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,090.19 / $3,287.00 / $12,196.17	Professional		$2,090.19	$3,287.00	$12,196.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,753.06 / $2,636.24 / $3,630.02	Professional		$1,753.06	$2,636.24	$3,630.02