Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,350.50 / $2,350.50	Facility		$1,400.00	$2,350.50	$2,350.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,194.19 / $2,350.50 / $2,739.90	Professional		$2,194.19	$2,350.50	$2,739.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,626.58 / $3,004.01 / $3,272.91	Facility		$2,626.58	$3,004.01	$3,272.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,909.26 / $2,909.26 / $2,909.26	Professional		$2,909.26	$2,909.26	$2,909.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,862.89 / $2,862.89 / $2,862.89	Facility		$2,862.89	$2,862.89	$2,862.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,422.08 / $3,636.56 / $11,906.85	Professional		$2,422.08	$3,636.56	$11,906.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,769.00 / $2,443.41 / $3,879.01	Professional		$1,769.00	$2,443.41	$3,879.01