Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.21 / $1,400.00 / $1,700.00	Facility		$1,037.21	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.65 / $1,102.72 / $1,582.52	Professional		$1,021.65	$1,102.72	$1,582.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.08 / $1,249.20 / $1,361.03	Facility		$1,119.08	$1,249.20	$1,361.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $620.73 / $1,209.80 / $1,209.80	Professional		$620.73	$1,209.80	$1,209.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.05 / $1,197.05 / $1,197.05	Facility		$1,197.05	$1,197.05	$1,197.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.28 / $1,571.57 / $3,000.41	Professional		$1,014.28	$1,571.57	$3,000.41
United Facility/Professional Professional Modifier Low / Median / High Price $844.62 / $1,308.30 / $1,739.66	Professional		$844.62	$1,308.30	$1,739.66