Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,744.94 / $2,971.50	Facility		$1,400.00	$1,744.94	$2,971.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,687.42 / $1,936.30 / $2,929.22	Professional		$1,687.42	$1,936.30	$2,929.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,980.26 / $2,301.21 / $2,507.21	Facility		$1,980.26	$2,301.21	$2,507.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,143.29 / $2,228.63 / $2,228.63	Professional		$1,143.29	$2,228.63	$2,228.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,122.21 / $2,122.21 / $2,122.21	Facility		$2,122.21	$2,122.21	$2,122.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,790.65 / $2,600.07 / $4,900.25	Professional		$1,790.65	$2,600.07	$4,900.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.84 / $2,027.24 / $2,971.50	Professional		$1,361.84	$2,027.24	$2,971.50