Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.80 / $1,400.00 / $1,700.00	Facility		$1,028.80	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.61 / $1,071.96 / $1,557.72	Professional		$1,022.61	$1,071.96	$1,557.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,089.52 / $1,228.94 / $1,338.94	Facility		$1,089.52	$1,228.94	$1,338.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.58 / $1,190.17 / $1,190.17	Professional		$610.58	$1,190.17	$1,190.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.61 / $1,167.61 / $1,167.61	Facility		$1,167.61	$1,167.61	$1,167.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.93 / $1,280.28 / $2,992.98	Professional		$993.93	$1,280.28	$2,992.98
United Facility/Professional Professional Modifier Low / Median / High Price $688.60 / $1,075.01 / $1,586.90	Professional		$688.60	$1,075.01	$1,586.90