Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,536.39 / $1,536.39	Facility		$1,400.00	$1,536.39	$1,536.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.54 / $1,536.39 / $1,850.69	Professional		$1,393.54	$1,536.39	$1,850.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,735.81 / $2,024.75 / $2,205.98	Facility		$1,735.81	$2,024.75	$2,205.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,960.88 / $1,960.88 / $1,960.88	Professional		$1,960.88	$1,960.88	$1,960.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.14 / $1,860.14 / $1,860.14	Facility		$1,860.14	$1,860.14	$1,860.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.20 / $2,451.11 / $8,553.11	Professional		$1,562.20	$2,451.11	$8,553.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,281.73 / $1,751.03 / $2,589.31	Professional		$1,281.73	$1,751.03	$2,589.31