Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.12 / $1,359.12 / $2,300.00	Facility		$1,359.12	$1,359.12	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,359.12 / $1,376.81 / $1,725.36	Professional		$1,359.12	$1,376.81	$1,725.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,461.25 / $1,607.11 / $1,750.96	Facility		$1,461.25	$1,607.11	$1,750.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,556.41 / $1,556.41 / $1,556.41	Professional		$1,556.41	$1,556.41	$1,556.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,582.62 / $1,582.62 / $1,582.62	Facility		$1,582.62	$1,582.62	$1,582.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,371.96 / $1,990.39 / $8,812.02	Professional		$1,371.96	$1,990.39	$8,812.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.29 / $1,610.31 / $2,480.07	Professional		$1,093.29	$1,610.31	$2,480.07