Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.04 / $1,228.04 / $1,400.00	Facility		$1,228.04	$1,228.04	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.33 / $1,228.04 / $1,438.19	Professional		$1,177.33	$1,228.04	$1,438.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,297.77 / $1,483.14 / $1,615.90	Facility		$1,297.77	$1,483.14	$1,615.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,436.35 / $1,436.35 / $1,436.35	Professional		$1,436.35	$1,436.35	$1,436.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.08 / $1,391.08 / $1,391.08	Facility		$1,391.08	$1,391.08	$1,391.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.11 / $1,795.45 / $7,469.74	Professional		$1,169.11	$1,795.45	$7,469.74
United Facility/Professional Professional Modifier Low / Median / High Price $984.13 / $1,585.92 / $2,165.71	Professional		$984.13	$1,585.92	$2,165.71