Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.05 / $1,407.05 / $1,407.05	Facility		$1,407.05	$1,407.05	$1,407.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,407.05 / $1,407.05 / $1,629.66	Professional		$1,407.05	$1,407.05	$1,629.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,877.39 / $3,873.76 / $5,021.54	Facility		$1,877.39	$3,873.76	$5,021.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,865.14 / $2,021.80 / $3,465.95	Professional		$1,865.14	$2,021.80	$3,465.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $3,595.21	Facility		$1,743.07	$1,743.07	$3,595.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $15,068.62	Professional		$1,272.44	$1,272.44	$15,068.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.11 / $1,832.96 / $2,245.85	Professional		$1,342.11	$1,832.96	$2,245.85