Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.36 / $1,227.36 / $1,400.00	Facility		$1,227.36	$1,227.36	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.45 / $1,227.36 / $1,433.74	Professional		$1,175.45	$1,227.36	$1,433.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,295.10 / $1,481.33 / $1,613.94	Facility		$1,295.10	$1,481.33	$1,613.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,434.61 / $1,434.61 / $1,434.61	Professional		$1,434.61	$1,434.61	$1,434.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.58 / $1,388.58 / $1,388.58	Facility		$1,388.58	$1,388.58	$1,388.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.27 / $1,793.26 / $5,852.03	Professional		$1,165.27	$1,793.26	$5,852.03
United Facility/Professional Professional Modifier Low / Median / High Price $957.72 / $1,293.52 / $1,977.24	Professional		$957.72	$1,293.52	$1,977.24