Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,886.19 / $1,886.19 / $1,886.19	Facility		$1,886.19	$1,886.19	$1,886.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,886.19 / $1,886.19 / $2,028.68	Professional		$1,886.19	$1,886.19	$2,028.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,500.26 / $4,853.41 / $6,731.48	Facility		$2,500.26	$4,853.41	$6,731.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,500.26 / $2,692.59 / $4,314.14	Professional		$2,500.26	$2,692.59	$4,314.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $4,430.43	Facility		$2,160.07	$2,160.07	$4,430.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $18,569.29	Professional		$1,576.85	$2,160.07	$18,569.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,878.96 / $2,570.16 / $3,198.35	Professional		$1,878.96	$2,570.16	$3,198.35