Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.42 / $1,400.00 / $2,600.00	Facility		$1,197.42	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.42 / $1,266.36 / $1,790.27	Professional		$1,197.42	$1,266.36	$1,790.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,290.27 / $1,443.16 / $1,572.35	Facility		$1,290.27	$1,443.16	$1,572.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $717.12 / $1,397.64 / $1,397.64	Professional		$717.12	$1,397.64	$1,397.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.21 / $1,378.21 / $1,378.21	Facility		$1,378.21	$1,378.21	$1,378.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.08 / $1,747.05 / $3,510.04	Professional		$1,176.08	$1,747.05	$3,510.04
United Facility/Professional Professional Modifier Low / Median / High Price $918.47 / $1,322.10 / $1,926.74	Professional		$918.47	$1,322.10	$1,926.74