Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,644.20 / $2,644.20	Facility		$1,400.00	$2,644.20	$2,644.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,050.59 / $2,535.94 / $3,176.86	Professional		$2,050.59	$2,535.94	$3,176.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,960.31 / $3,423.25 / $3,729.69	Facility		$2,960.31	$3,423.25	$3,729.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,315.28 / $3,315.28 / $3,315.28	Professional		$3,315.28	$3,315.28	$3,315.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,189.20 / $3,189.20 / $3,189.20	Facility		$3,189.20	$3,189.20	$3,189.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,693.20 / $4,012.15 / $13,302.24	Professional		$2,693.20	$4,012.15	$13,302.24
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,121.46 / $3,020.36 / $4,420.37	Professional		$2,121.46	$3,020.36	$4,420.37