Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.51 / $1,400.00 / $1,755.10	Facility		$1,134.51	$1,400.00	$1,755.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.51 / $1,186.61 / $1,719.25	Professional		$1,134.51	$1,186.61	$1,719.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.28 / $1,359.19 / $1,480.87	Facility		$1,202.28	$1,359.19	$1,480.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.50 / $1,316.33 / $1,316.33	Professional		$675.50	$1,316.33	$1,316.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.67 / $1,285.67 / $1,285.67	Facility		$1,285.67	$1,285.67	$1,285.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.33 / $1,645.40 / $3,311.68	Professional		$1,093.33	$1,645.40	$3,311.68
United Facility/Professional Professional Modifier Low / Median / High Price $905.85 / $1,325.61 / $1,865.10	Professional		$905.85	$1,325.61	$1,865.10