Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.76 / $1,166.76 / $2,300.00	Facility		$1,166.76	$1,166.76	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.76 / $1,182.58 / $1,482.65	Professional		$1,166.76	$1,182.58	$1,482.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,250.49 / $1,374.98 / $1,498.07	Facility		$1,250.49	$1,374.98	$1,498.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,331.62 / $1,331.62 / $1,331.62	Professional		$1,331.62	$1,331.62	$1,331.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,360.05 / $1,360.05 / $1,360.05	Facility		$1,360.05	$1,360.05	$1,360.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.58 / $1,664.52 / $5,648.61	Professional		$1,174.58	$1,664.52	$5,648.61
United Facility/Professional Professional Modifier Low / Median / High Price $887.74 / $1,372.74 / $2,156.73	Professional		$887.74	$1,372.74	$2,156.73