Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.79 / $1,400.00 / $2,600.00	Facility		$1,134.79	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.05 / $1,207.70 / $1,493.12	Professional		$1,121.05	$1,207.70	$1,493.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,212.58 / $1,397.53 / $1,522.62	Facility		$1,212.58	$1,397.53	$1,522.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $694.22 / $1,353.44 / $1,353.44	Professional		$694.22	$1,353.44	$1,353.44
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 $1,107.68 / $1,478.29 / $2,857.95	Professional		$1,107.68	$1,478.29	$2,857.95
United Facility/Professional Professional Modifier Low / Median / High Price $774.89 / $1,129.34 / $1,787.94	Professional		$774.89	$1,129.34	$1,787.94