Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,797.40 / $1,797.40	Facility		$1,400.00	$1,797.40	$1,797.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.91 / $1,797.40 / $2,168.86	Professional		$1,628.91	$1,797.40	$2,168.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,030.58 / $2,370.48 / $2,582.69	Facility		$2,030.58	$2,370.48	$2,582.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,295.71 / $2,295.71 / $2,295.71	Professional		$2,295.71	$2,295.71	$2,295.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,176.71 / $2,176.71 / $2,176.71	Facility		$2,176.71	$2,176.71	$2,176.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,825.68 / $2,869.66 / $10,062.46	Professional		$1,825.68	$2,869.66	$10,062.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.76 / $2,179.11 / $3,060.96	Professional		$1,485.76	$2,179.11	$3,060.96