Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.88 / $1,400.00 / $2,600.00	Facility		$1,294.88	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.88 / $1,391.53 / $1,978.64	Professional		$1,294.88	$1,391.53	$1,978.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,275.38 / $1,397.39 / $1,667.47	Facility		$1,275.38	$1,397.39	$1,667.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.33 / $1,482.19 / $1,482.19	Professional		$760.33	$1,482.19	$1,482.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,496.15 / $1,496.15 / $1,496.15	Facility		$1,496.15	$1,496.15	$1,496.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.88 / $1,878.97 / $3,815.72	Professional		$1,278.88	$1,878.97	$3,815.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.94 / $1,602.60 / $2,128.28	Professional		$1,024.94	$1,602.60	$2,128.28