Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.71 / $1,400.00 / $1,643.63	Facility		$1,067.71	$1,400.00	$1,643.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.25 / $1,138.27 / $1,626.73	Professional		$926.25	$1,138.27	$1,626.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,144.21 / $1,272.88 / $1,386.81	Facility		$1,144.21	$1,272.88	$1,386.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $632.48 / $1,232.72 / $1,232.72	Professional		$632.48	$1,232.72	$1,232.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.95 / $1,224.95 / $1,224.95	Facility		$1,224.95	$1,224.95	$1,224.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.34 / $1,492.98 / $3,165.22	Professional		$1,045.34	$1,492.98	$3,165.22
United Facility/Professional Professional Modifier Low / Median / High Price $830.15 / $1,361.45 / $1,643.63	Professional		$830.15	$1,361.45	$1,643.63