Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.65 / $1,400.00 / $2,300.00	Facility		$1,098.65	$1,400.00	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.65 / $1,157.40 / $1,667.80	Professional		$1,098.65	$1,157.40	$1,667.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,179.19 / $1,320.24 / $1,438.41	Facility		$1,179.19	$1,320.24	$1,438.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $655.98 / $1,278.58 / $1,278.58	Professional		$655.98	$1,278.58	$1,278.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.32 / $1,260.32 / $1,260.32	Facility		$1,260.32	$1,260.32	$1,260.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.98 / $1,598.24 / $3,200.32	Professional		$1,074.98	$1,598.24	$3,200.32
United Facility/Professional Professional Modifier Low / Median / High Price $860.36 / $1,343.13 / $1,778.07	Professional		$860.36	$1,343.13	$1,778.07