Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,931.75 / $2,300.00	Facility		$1,400.00	$1,931.75	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.99 / $1,931.75 / $2,201.63	Professional		$1,760.99	$1,931.75	$2,201.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,056.66 / $2,277.19 / $2,481.04	Facility		$2,056.66	$2,277.19	$2,481.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,205.37 / $2,205.37 / $2,205.37	Professional		$2,205.37	$2,205.37	$2,205.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,219.69 / $2,219.69 / $2,219.69	Facility		$2,219.69	$2,219.69	$2,219.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,906.23 / $2,756.71 / $10,435.24	Professional		$1,906.23	$2,756.71	$10,435.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.10 / $2,211.23 / $3,227.02	Professional		$1,547.10	$2,211.23	$3,227.02