Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.41 / $1,187.41 / $3,050.00	Facility		$1,187.41	$1,187.41	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.64 / $1,257.19 / $1,809.72	Professional		$1,169.64	$1,257.19	$1,809.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,541.61	Facility		$1,263.04	$1,263.04	$1,541.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,370.32 / $1,370.32 / $1,370.32	Professional		$1,370.32	$1,370.32	$1,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.20 / $1,364.20 / $1,364.20	Facility		$1,364.20	$1,364.20	$1,364.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.93 / $1,598.83 / $3,433.17	Professional		$1,164.93	$1,598.83	$3,433.17
United Facility/Professional Professional Modifier Low / Median / High Price $816.35 / $1,283.66 / $2,289.83	Professional		$816.35	$1,283.66	$2,289.83