Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.09 / $1,170.09 / $2,300.00	Facility		$1,170.09	$1,170.09	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.09 / $1,186.83 / $1,535.71	Professional		$1,170.09	$1,186.83	$1,535.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,250.80 / $1,369.54 / $1,492.13	Facility		$1,250.80	$1,369.54	$1,492.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,326.34 / $1,326.34 / $1,326.34	Professional		$1,326.34	$1,326.34	$1,326.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.93 / $1,380.93 / $1,380.93	Facility		$1,380.93	$1,380.93	$1,380.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.69 / $1,657.92 / $5,740.62	Professional		$1,192.69	$1,657.92	$5,740.62
United Facility/Professional Professional Modifier Low / Median / High Price $851.72 / $1,120.65 / $1,916.80	Professional		$851.72	$1,120.65	$1,916.80