Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,862.25 / $1,862.25	Facility		$1,400.00	$1,862.25	$1,862.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,687.52 / $1,862.25 / $2,240.07	Professional		$1,687.52	$1,862.25	$2,240.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,451.40 / $2,451.40 / $2,670.83	Facility		$2,451.40	$2,451.40	$2,670.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,374.07 / $2,374.07 / $2,374.07	Professional		$2,374.07	$2,374.07	$2,374.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,251.87 / $2,251.87 / $2,251.87	Facility		$2,251.87	$2,251.87	$2,251.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.58 / $2,772.44 / $9,910.07	Professional		$1,887.58	$2,772.44	$9,910.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,575.32 / $2,137.84 / $3,165.42	Professional		$1,575.32	$2,137.84	$3,165.42