Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.48 / $1,400.00 / $2,600.00	Facility		$1,048.48	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.78 / $1,107.04 / $1,591.48	Professional		$1,030.78	$1,107.04	$1,591.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.55 / $1,260.98 / $1,373.85	Facility		$1,126.55	$1,260.98	$1,373.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $626.71 / $1,221.20 / $1,221.20	Professional		$626.71	$1,221.20	$1,221.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.30 / $1,203.30 / $1,203.30	Facility		$1,203.30	$1,203.30	$1,203.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.61 / $1,517.49 / $3,050.06	Professional		$1,026.61	$1,517.49	$3,050.06
United Facility/Professional Professional Modifier Low / Median / High Price $825.65 / $1,162.83 / $1,706.35	Professional		$825.65	$1,162.83	$1,706.35