Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.88 / $1,400.00 / $2,600.00	Facility		$1,104.88	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.04 / $1,166.65 / $1,951.11	Professional		$1,088.04	$1,166.65	$1,951.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,188.96 / $1,330.60 / $1,449.71	Facility		$1,188.96	$1,330.60	$1,449.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $661.16 / $1,288.63 / $1,288.63	Professional		$661.16	$1,288.63	$1,288.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,270.14 / $1,270.14 / $1,270.14	Facility		$1,270.14	$1,270.14	$1,270.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,083.61 / $1,542.06 / $3,233.15	Professional		$1,083.61	$1,542.06	$3,233.15
United Facility/Professional Professional Modifier Low / Median / High Price $847.28 / $1,315.68 / $1,718.18	Professional		$847.28	$1,315.68	$1,718.18