Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.39 / $1,400.00 / $2,300.00	Facility		$1,102.39	$1,400.00	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.39 / $1,157.48 / $1,575.42	Professional		$1,102.39	$1,157.48	$1,575.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,292.06 / $1,292.06 / $1,407.73	Facility		$1,292.06	$1,292.06	$1,407.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.84 / $1,251.31 / $1,251.31	Professional		$641.84	$1,251.31	$1,251.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.91 / $1,273.91 / $1,273.91	Facility		$1,273.91	$1,273.91	$1,273.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.91 / $1,628.10 / $3,157.01	Professional		$1,087.91	$1,628.10	$3,157.01
United Facility/Professional Professional Modifier Low / Median / High Price $889.38 / $1,336.23 / $1,856.68	Professional		$889.38	$1,336.23	$1,856.68