Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,631.43 / $2,778.48	Facility		$1,400.00	$1,631.43	$2,778.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.73 / $1,799.70 / $2,907.17	Professional		$1,574.73	$1,799.70	$2,907.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,847.33 / $2,151.71 / $2,344.34	Facility		$1,847.33	$2,151.71	$2,344.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,069.20 / $2,083.86 / $2,083.86	Professional		$1,069.20	$2,083.86	$2,083.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.56 / $1,980.56 / $1,980.56	Facility		$1,980.56	$1,980.56	$1,980.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.48 / $2,431.16 / $5,323.72	Professional		$1,665.48	$2,431.16	$5,323.72
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 $1,293.32 / $2,015.71 / $2,752.75	Professional		$1,293.32	$2,015.71	$2,752.75