Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.50 / $1,093.50 / $2,300.00	Facility		$1,093.50	$1,093.50	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.09 / $1,093.50 / $1,180.05	Professional		$1,003.09	$1,093.50	$1,180.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,216.53 / $1,352.44 / $1,473.50	Facility		$1,216.53	$1,352.44	$1,473.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,309.78 / $1,309.78 / $1,309.78	Professional		$1,309.78	$1,309.78	$1,309.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.43 / $1,303.43 / $1,303.43	Facility		$1,303.43	$1,303.43	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.85 / $1,378.41 / $2,921.77	Professional		$927.85	$1,378.41	$2,921.77
United Facility/Professional Professional Modifier Low / Median / High Price $918.42 / $1,378.74 / $1,746.80	Professional		$918.42	$1,378.74	$1,746.80