Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.92 / $1,400.00 / $1,723.23	Facility		$1,107.92	$1,400.00	$1,723.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.92 / $1,169.75 / $1,655.77	Professional		$1,107.92	$1,169.75	$1,655.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,192.46 / $1,334.52 / $1,453.98	Facility		$1,192.46	$1,334.52	$1,453.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $662.95 / $1,292.42 / $1,292.42	Professional		$662.95	$1,292.42	$1,292.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.55 / $1,273.55 / $1,273.55	Facility		$1,273.55	$1,273.55	$1,273.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.52 / $1,605.73 / $3,244.42	Professional		$1,086.52	$1,605.73	$3,244.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $830.33 / $1,250.84 / $1,758.07	Professional		$830.33	$1,250.84	$1,758.07