Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.74 / $1,400.00 / $1,883.17	Facility		$1,168.74	$1,400.00	$1,883.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.74 / $1,276.83 / $1,837.43	Professional		$1,168.74	$1,276.83	$1,837.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,302.30 / $1,458.37 / $1,588.92	Facility		$1,302.30	$1,458.37	$1,588.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.69 / $1,412.38 / $1,412.38	Professional		$724.69	$1,412.38	$1,412.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.04 / $1,391.04 / $1,391.04	Facility		$1,391.04	$1,391.04	$1,391.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.31 / $1,657.57 / $3,537.91	Professional		$1,186.31	$1,657.57	$3,537.91
United Facility/Professional Professional Modifier Low / Median / High Price $895.69 / $1,271.14 / $1,883.17	Professional		$895.69	$1,271.14	$1,883.17