Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.08 / $1,067.08 / $2,300.00	Facility		$1,067.08	$1,067.08	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.84 / $1,138.75 / $1,576.63	Professional		$1,059.84	$1,138.75	$1,576.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,158.73 / $1,158.73 / $1,414.26	Facility		$1,158.73	$1,158.73	$1,414.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,257.11 / $1,257.11 / $1,257.11	Professional		$1,257.11	$1,257.11	$1,257.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.46 / $1,239.46 / $1,239.46	Facility		$1,239.46	$1,239.46	$1,239.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.59 / $1,548.39 / $2,994.35	Professional		$1,055.59	$1,548.39	$2,994.35
United Facility/Professional Professional Modifier Low / Median / High Price $807.23 / $1,398.72 / $2,515.46	Professional		$807.23	$1,398.72	$2,515.46