Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.45 / $1,580.45 / $1,580.45	Facility		$1,580.45	$1,580.45	$1,580.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,580.45 / $1,580.45 / $1,699.85	Professional		$1,580.45	$1,580.45	$1,699.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,467.78 / $5,801.51	Facility		$2,230.00	$4,467.78	$5,801.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,094.98 / $2,401.54 / $4,116.92	Professional		$2,094.98	$2,401.54	$4,116.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $4,155.42	Facility		$2,561.34	$2,561.34	$4,155.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,561.34 / $17,416.64	Professional		$1,869.78	$2,561.34	$17,416.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,607.95 / $2,246.17 / $2,799.63	Professional		$1,607.95	$2,246.17	$2,799.63