Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.84 / $1,082.84 / $2,300.00	Facility		$1,082.84	$1,082.84	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.84 / $1,098.95 / $1,370.09	Professional		$1,082.84	$1,098.95	$1,370.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,165.71 / $1,284.22 / $1,399.18	Facility		$1,165.71	$1,284.22	$1,399.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,243.72 / $1,243.72 / $1,243.72	Professional		$1,243.72	$1,243.72	$1,243.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.86 / $1,260.86 / $1,260.86	Facility		$1,260.86	$1,260.86	$1,260.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.40 / $1,554.64 / $5,409.52	Professional		$1,091.40	$1,554.64	$5,409.52
United Facility/Professional Professional Modifier Low / Median / High Price $848.05 / $1,192.03 / $1,911.23	Professional		$848.05	$1,192.03	$1,911.23