Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.13 / $1,039.13 / $1,400.00	Facility		$1,039.13	$1,039.13	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.13 / $1,109.33 / $1,255.70	Professional		$1,039.13	$1,109.33	$1,255.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,059.58 / $1,208.68 / $1,316.87	Facility		$1,059.58	$1,208.68	$1,316.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,170.55 / $1,170.55 / $1,170.55	Professional		$1,170.55	$1,170.55	$1,170.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.80 / $1,135.80 / $1,135.80	Facility		$1,135.80	$1,135.80	$1,135.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.36 / $1,463.19 / $5,802.46	Professional		$957.36	$1,463.19	$5,802.46
United Facility/Professional Professional Modifier Low / Median / High Price $795.20 / $1,143.07 / $1,643.42	Professional		$795.20	$1,143.07	$1,643.42