Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.19 / $1,400.00 / $2,300.00	Facility		$1,044.19	$1,400.00	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.14 / $1,104.68 / $1,589.40	Professional		$1,028.14	$1,104.68	$1,589.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,123.57 / $1,256.80 / $1,369.31	Facility		$1,123.57	$1,256.80	$1,369.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $624.51 / $1,217.16 / $1,217.16	Professional		$624.51	$1,217.16	$1,217.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.39 / $1,200.39 / $1,200.39	Facility		$1,200.39	$1,200.39	$1,200.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.26 / $1,523.25 / $3,037.75	Professional		$1,024.26	$1,523.25	$3,037.75
United Facility/Professional Professional Modifier Low / Median / High Price $817.47 / $1,188.79 / $1,677.46	Professional		$817.47	$1,188.79	$1,677.46