Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.79 / $1,157.79 / $2,300.00	Facility		$1,157.79	$1,157.79	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.79 / $1,180.61 / $1,471.91	Professional		$1,157.79	$1,180.61	$1,471.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,260.17 / $1,386.53 / $1,510.64	Facility		$1,260.17	$1,386.53	$1,510.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,342.79 / $1,342.79 / $1,342.79	Professional		$1,342.79	$1,342.79	$1,342.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.00 / $1,357.00 / $1,357.00	Facility		$1,357.00	$1,357.00	$1,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.48 / $1,678.49 / $6,055.85	Professional		$1,182.48	$1,678.49	$6,055.85
United Facility/Professional Professional Modifier Low / Median / High Price $823.75 / $1,208.51 / $1,890.29	Professional		$823.75	$1,208.51	$1,890.29