Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,884.44 / $1,884.44	Facility		$1,400.00	$1,884.44	$1,884.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,709.66 / $1,884.44 / $2,223.94	Professional		$1,709.66	$1,884.44	$2,223.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,129.42 / $2,483.44 / $2,705.75	Facility		$2,129.42	$2,483.44	$2,705.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,405.11 / $2,405.11 / $2,405.11	Professional		$2,405.11	$2,405.11	$2,405.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.73 / $2,282.73 / $2,282.73	Facility		$2,282.73	$2,282.73	$2,282.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,916.75 / $3,006.39 / $10,380.15	Professional		$1,916.75	$3,006.39	$10,380.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,603.41 / $2,279.94 / $3,206.82	Professional		$1,603.41	$2,279.94	$3,206.82