Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,281.00 / $3,879.47	Facility		$1,400.00	$2,281.00	$3,879.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,191.33 / $2,498.08 / $3,637.33	Professional		$2,191.33	$2,498.08	$3,637.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,571.42 / $3,004.37 / $3,273.30	Facility		$2,571.42	$3,004.37	$3,273.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,492.78 / $2,909.60 / $2,909.60	Professional		$1,492.78	$2,909.60	$2,909.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.33 / $2,756.33 / $2,756.33	Facility		$2,756.33	$2,756.33	$2,756.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,309.52 / $3,338.53 / $6,758.32	Professional		$2,309.52	$3,338.53	$6,758.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,886.46 / $2,771.41 / $5,133.08	Professional		$1,886.46	$2,771.41	$5,133.08