Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.76 / $1,058.76 / $1,600.00	Facility		$1,058.76	$1,058.76	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.51 / $1,058.76 / $1,189.61	Professional		$953.51	$1,058.76	$1,189.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,109.45 / $1,253.38 / $1,365.57	Facility		$1,109.45	$1,253.38	$1,365.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,213.83 / $1,213.83 / $1,213.83	Professional		$1,213.83	$1,213.83	$1,213.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.75 / $1,192.75 / $1,192.75	Facility		$1,192.75	$1,192.75	$1,192.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.56 / $1,582.12 / $4,959.64	Professional		$1,012.56	$1,582.12	$4,959.64
United Facility/Professional Professional Modifier Low / Median / High Price $839.43 / $1,258.48 / $1,868.65	Professional		$839.43	$1,258.48	$1,868.65