Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,617.14 / $2,756.83	Facility		$1,400.00	$1,617.14	$2,756.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,561.14 / $1,785.01 / $2,324.92	Professional		$1,561.14	$1,785.01	$2,324.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,832.83 / $2,134.96 / $2,326.08	Facility		$1,832.83	$2,134.96	$2,326.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,060.64 / $2,067.62 / $2,067.62	Professional		$1,060.64	$2,067.62	$2,067.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,963.51 / $1,963.51 / $1,963.51	Facility		$1,963.51	$1,963.51	$1,963.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.50 / $2,412.23 / $5,277.20	Professional		$1,652.50	$2,412.23	$5,277.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,270.63 / $1,886.74 / $2,756.83	Professional		$1,270.63	$1,886.74	$2,756.83