Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,877.07 / $1,877.07	Facility		$1,400.00	$1,877.07	$1,877.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.06 / $1,877.07 / $2,230.38	Professional		$1,702.06	$1,877.07	$2,230.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,119.10 / $2,472.67 / $2,694.03	Facility		$2,119.10	$2,472.67	$2,694.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,394.69 / $2,394.69 / $2,394.69	Professional		$2,394.69	$2,394.69	$2,394.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,272.34 / $2,272.34 / $2,272.34	Facility		$2,272.34	$2,272.34	$2,272.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,906.25 / $2,993.37 / $10,486.64	Professional		$1,906.25	$2,993.37	$10,486.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,545.62 / $2,272.23 / $3,192.93	Professional		$1,545.62	$2,272.23	$3,192.93