Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,834.73 / $2,600.00	Facility		$1,400.00	$1,834.73	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,674.09 / $1,834.73 / $2,096.59	Professional		$1,674.09	$1,834.73	$2,096.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,953.79 / $2,162.26 / $2,355.80	Facility		$1,953.79	$2,162.26	$2,355.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,094.05 / $2,094.05 / $2,094.05	Professional		$2,094.05	$2,094.05	$2,094.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,108.98 / $2,108.98 / $2,108.98	Facility		$2,108.98	$2,108.98	$2,108.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.53 / $2,617.56 / $9,944.95	Professional		$1,812.53	$2,617.56	$9,944.95
United Facility/Professional Facility Modifier Low / Median / High Price $16,585.53 / $16,585.53 / $16,585.53	Facility		$16,585.53	$16,585.53	$16,585.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,471.05 / $2,048.48 / $3,043.60	Professional		$1,471.05	$2,048.48	$3,043.60