Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.08 / $1,400.00 / $2,300.00	Facility		$1,237.08	$1,400.00	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.08 / $1,360.78 / $1,864.02	Professional		$1,237.08	$1,360.78	$1,864.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,337.81 / $1,494.58 / $1,628.36	Facility		$1,337.81	$1,494.58	$1,628.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $742.61 / $1,447.43 / $1,447.43	Professional		$742.61	$1,447.43	$1,447.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,431.77 / $1,431.77 / $1,431.77	Facility		$1,431.77	$1,431.77	$1,431.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.29 / $1,809.29 / $3,587.45	Professional		$1,219.29	$1,809.29	$3,587.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $953.34 / $1,388.84 / $1,989.14	Professional		$953.34	$1,388.84	$1,989.14