Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.08 / $1,203.08 / $2,300.00	Facility		$1,203.08	$1,203.08	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.08 / $1,219.07 / $1,528.09	Professional		$1,203.08	$1,219.07	$1,528.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,290.24 / $1,419.38 / $1,546.44	Facility		$1,290.24	$1,419.38	$1,546.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,374.61 / $1,374.61 / $1,374.61	Professional		$1,374.61	$1,374.61	$1,374.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,401.05 / $1,401.05 / $1,401.05	Facility		$1,401.05	$1,401.05	$1,401.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,210.78 / $1,718.27 / $5,833.66	Professional		$1,210.78	$1,718.27	$5,833.66
United Facility/Professional Professional Modifier Low / Median / High Price $935.49 / $1,415.43 / $1,985.38	Professional		$935.49	$1,415.43	$1,985.38