Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.05 / $1,400.00 / $2,300.00	Facility		$1,155.05	$1,400.00	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.05 / $1,219.54 / $1,766.15	Professional		$1,155.05	$1,219.54	$1,766.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,242.43 / $1,393.57 / $1,518.32	Facility		$1,242.43	$1,393.57	$1,518.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $692.42 / $1,349.62 / $1,349.62	Professional		$692.42	$1,349.62	$1,349.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.95 / $1,325.95 / $1,325.95	Facility		$1,325.95	$1,325.95	$1,325.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.66 / $1,687.03 / $3,400.90	Professional		$1,129.66	$1,687.03	$3,400.90
United Facility/Professional Professional Modifier Low / Median / High Price $890.95 / $1,400.07 / $1,973.39	Professional		$890.95	$1,400.07	$1,973.39