Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.59 / $1,700.00 / $5,972.43	Facility		$1,352.59	$1,700.00	$5,972.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.59 / $1,380.79 / $1,995.68	Professional		$1,352.59	$1,380.79	$1,995.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,511.17 / $1,695.46 / $1,847.23	Facility		$1,511.17	$1,695.46	$1,847.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $842.58 / $1,641.98 / $1,641.98	Professional		$842.58	$1,641.98	$1,641.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,614.43 / $1,614.43 / $1,614.43	Facility		$1,614.43	$1,614.43	$1,614.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.23 / $1,677.72 / $3,902.54	Professional		$1,323.23	$1,677.72	$3,902.54
United Facility/Professional Professional Modifier Low / Median / High Price $894.13 / $1,304.47 / $2,189.31	Professional		$894.13	$1,304.47	$2,189.31