Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.60 / $2,537.50 / $3,045.00	Facility		$1,664.60	$2,537.50	$3,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.50 / $1,664.60 / $1,725.50	Professional		$1,522.50	$1,664.60	$1,725.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $3,045.00 / $3,552.50	Facility		$2,233.00	$3,045.00	$3,552.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $2,436.00 / $2,740.50	Professional		$2,436.00	$2,436.00	$2,740.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,649.38 / $2,436.00 / $6,089.49	Facility		$1,649.38	$2,436.00	$6,089.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,784.60 / $9,784.60 / $9,784.60	Professional		$9,784.60	$9,784.60	$9,784.60
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $913.50 / $2,740.50	Professional		$852.60	$913.50	$2,740.50