Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,057.96 / $2,057.96	Facility		$1,400.00	$2,057.96	$2,057.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.09 / $2,057.96 / $2,396.59	Professional		$1,865.09	$2,057.96	$2,396.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,323.92 / $2,713.16 / $2,956.04	Facility		$2,323.92	$2,713.16	$2,956.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,627.59 / $2,627.59 / $2,627.59	Professional		$2,627.59	$2,627.59	$2,627.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,490.65 / $2,490.65 / $2,490.65	Facility		$2,490.65	$2,490.65	$2,490.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,284.49 / $11,634.30	Professional		$2,089.30	$3,284.49	$11,634.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,761.48 / $2,517.75 / $3,610.78	Professional		$1,761.48	$2,517.75	$3,610.78