Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.79 / $1,400.00 / $2,600.00	Facility		$1,054.79	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.79 / $1,143.14 / $1,833.62	Professional		$1,054.79	$1,143.14	$1,833.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,043.19 / $1,136.17 / $1,363.89	Facility		$1,043.19	$1,136.17	$1,363.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $621.92 / $1,212.34 / $1,212.34	Professional		$621.92	$1,212.34	$1,212.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.35 / $1,221.35 / $1,221.35	Facility		$1,221.35	$1,221.35	$1,221.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.55 / $1,582.59 / $3,372.02	Professional		$1,045.55	$1,582.59	$3,372.02
United Facility/Professional Professional Modifier Low / Median / High Price $840.80 / $1,292.73 / $1,786.70	Professional		$840.80	$1,292.73	$1,786.70