Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.51 / $1,128.51 / $1,400.00	Facility		$1,128.51	$1,128.51	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.83 / $1,128.51 / $1,338.38	Professional		$1,087.83	$1,128.51	$1,338.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,200.09 / $1,366.14 / $1,488.43	Facility		$1,200.09	$1,366.14	$1,488.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,323.05 / $1,323.05 / $1,323.05	Professional		$1,323.05	$1,323.05	$1,323.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.61 / $1,285.61 / $1,285.61	Facility		$1,285.61	$1,285.61	$1,285.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.72 / $1,653.81 / $5,918.13	Professional		$1,087.72	$1,653.81	$5,918.13
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.36 / $1,287.42 / $1,822.46	Professional		$880.36	$1,287.42	$1,822.46