Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,614.97 / $1,614.97	Facility		$1,400.00	$1,614.97	$1,614.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,467.36 / $1,614.97 / $1,943.40	Professional		$1,467.36	$1,614.97	$1,943.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,828.32 / $2,130.17 / $2,320.87	Facility		$1,828.32	$2,130.17	$2,320.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,062.98 / $2,062.98 / $2,062.98	Professional		$2,062.98	$2,062.98	$2,062.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,959.00 / $1,959.00 / $1,959.00	Facility		$1,959.00	$1,959.00	$1,959.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,647.94 / $2,578.73 / $8,299.70	Professional		$1,647.94	$2,578.73	$8,299.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.68 / $1,856.69 / $2,750.66	Professional		$1,348.68	$1,856.69	$2,750.66