Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.68 / $1,225.68 / $2,600.00	Facility		$1,225.68	$1,225.68	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.68 / $1,247.82 / $1,577.00	Professional		$1,225.68	$1,247.82	$1,577.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,324.39 / $1,452.83 / $1,582.88	Facility		$1,324.39	$1,452.83	$1,582.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,407.00 / $1,407.00 / $1,407.00	Professional		$1,407.00	$1,407.00	$1,407.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.21 / $1,440.21 / $1,440.21	Facility		$1,440.21	$1,440.21	$1,440.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.22 / $1,758.75 / $6,588.36	Professional		$1,250.22	$1,758.75	$6,588.36
United Facility/Professional Professional Modifier Low / Median / High Price $918.75 / $1,347.50 / $2,026.30	Professional		$918.75	$1,347.50	$2,026.30