Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,592.98 / $1,592.98	Facility		$1,400.00	$1,592.98	$1,592.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,456.63 / $1,592.98 / $1,841.03	Professional		$1,456.63	$1,592.98	$1,841.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,700.64 / $1,879.98 / $2,048.27	Facility		$1,700.64	$1,879.98	$2,048.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,820.69 / $1,820.69 / $1,820.69	Professional		$1,820.69	$1,820.69	$1,820.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,835.83 / $1,835.83 / $1,835.83	Facility		$1,835.83	$1,835.83	$1,835.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.34 / $2,275.85 / $8,492.51	Professional		$1,581.34	$2,275.85	$8,492.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.47 / $1,824.63 / $2,693.50	Professional		$1,286.47	$1,824.63	$2,693.50