Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.11 / $1,400.11 / $1,400.11	Facility		$1,400.11	$1,400.11	$1,400.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.11 / $1,400.11 / $1,558.50	Professional		$1,400.11	$1,400.11	$1,558.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,855.94 / $3,996.88 / $5,139.52	Facility		$1,855.94	$3,996.88	$5,139.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,855.94 / $1,998.70 / $3,426.35	Professional		$1,855.94	$1,998.70	$3,426.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $3,742.58	Facility		$1,784.15	$1,784.15	$3,742.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,784.15 / $15,686.30	Professional		$1,302.43	$1,784.15	$15,686.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,424.47 / $1,989.86 / $2,374.12	Professional		$1,424.47	$1,989.86	$2,374.12