Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,856.63 / $1,856.63	Facility		$1,400.00	$1,856.63	$1,856.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,687.00 / $1,856.63 / $2,138.63	Professional		$1,687.00	$1,856.63	$2,138.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,978.21 / $2,193.94 / $2,390.32	Facility		$1,978.21	$2,193.94	$2,390.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,124.73 / $2,124.73 / $2,124.73	Professional		$2,124.73	$2,124.73	$2,124.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,132.46 / $2,132.46 / $2,132.46	Facility		$2,132.46	$2,132.46	$2,132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,827.61 / $2,655.92 / $10,554.59	Professional		$1,827.61	$2,655.92	$10,554.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,505.08 / $2,453.02 / $4,404.43	Professional		$1,505.08	$2,453.02	$4,404.43