Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,417.76 / $2,417.76	Facility		$1,400.00	$2,417.76	$2,417.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.38 / $2,417.76 / $2,831.54	Professional		$2,189.38	$2,417.76	$2,831.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,727.01 / $3,185.22 / $3,470.34	Facility		$2,727.01	$3,185.22	$3,470.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,084.74 / $3,084.74 / $3,084.74	Professional		$3,084.74	$3,084.74	$3,084.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,923.81 / $2,923.81 / $2,923.81	Facility		$2,923.81	$2,923.81	$2,923.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,450.02 / $3,855.93 / $13,801.05	Professional		$2,450.02	$3,855.93	$13,801.05
United Facility/Professional Professional Modifier Low / Median / High Price $2,056.50 / $2,919.74 / $4,133.33	Professional		$2,056.50	$2,919.74	$4,133.33