Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.09 / $1,125.09 / $2,300.00	Facility		$1,125.09	$1,125.09	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.09 / $1,141.79 / $1,435.05	Professional		$1,125.09	$1,141.79	$1,435.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,207.51 / $1,327.28 / $1,446.09	Facility		$1,207.51	$1,327.28	$1,446.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,285.42 / $1,285.42 / $1,285.42	Professional		$1,285.42	$1,285.42	$1,285.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.19 / $1,314.19 / $1,314.19	Facility		$1,314.19	$1,314.19	$1,314.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.33 / $1,606.77 / $5,459.95	Professional		$1,135.33	$1,606.77	$5,459.95
United Facility/Professional Professional Modifier Low / Median / High Price $881.36 / $1,345.43 / $1,986.11	Professional		$881.36	$1,345.43	$1,986.11