Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.63 / $1,203.63 / $1,700.00	Facility		$1,203.63	$1,203.63	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.24 / $1,211.25 / $1,462.25	Professional		$1,185.24	$1,211.25	$1,462.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,293.58 / $1,438.01 / $1,566.74	Facility		$1,293.58	$1,438.01	$1,566.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,392.66 / $1,392.66 / $1,392.66	Professional		$1,392.66	$1,392.66	$1,392.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.50 / $1,392.50 / $1,392.50	Facility		$1,392.50	$1,392.50	$1,392.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.48 / $1,740.82 / $7,183.29	Professional		$1,189.48	$1,740.82	$7,183.29
United Facility/Professional Professional Modifier Low / Median / High Price $972.41 / $1,429.61 / $2,130.75	Professional		$972.41	$1,429.61	$2,130.75