Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.84 / $1,015.84 / $1,700.00	Facility		$1,015.84	$1,015.84	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.84 / $1,033.36 / $1,351.93	Professional		$1,015.84	$1,033.36	$1,351.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,086.19 / $1,184.83 / $1,290.90	Facility		$1,086.19	$1,184.83	$1,290.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,147.46 / $1,147.46 / $1,147.46	Professional		$1,147.46	$1,147.46	$1,147.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.94 / $1,207.94 / $1,207.94	Facility		$1,207.94	$1,207.94	$1,207.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.33 / $1,434.32 / $5,012.51	Professional		$1,042.33	$1,434.32	$5,012.51
United Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $1,073.77 / $1,659.95	Professional		$705.23	$1,073.77	$1,659.95