Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,934.68 / $1,934.68	Facility		$1,400.00	$1,934.68	$1,934.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,790.84 / $1,934.68 / $2,403.48	Professional		$1,790.84	$1,934.68	$2,403.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,182.44 / $2,510.04 / $2,734.74	Facility		$2,182.44	$2,510.04	$2,734.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,430.88 / $2,430.88 / $2,430.88	Professional		$2,430.88	$2,430.88	$2,430.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,356.59 / $2,356.59 / $2,356.59	Facility		$2,356.59	$2,356.59	$2,356.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.99 / $2,962.56 / $9,850.39	Professional		$1,998.99	$2,962.56	$9,850.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,542.79 / $2,187.79 / $3,241.17	Professional		$1,542.79	$2,187.79	$3,241.17