Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.38 / $1,212.38 / $1,400.00	Facility		$1,212.38	$1,212.38	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.38 / $1,280.28 / $1,450.62	Professional		$1,212.38	$1,280.28	$1,450.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,227.01 / $1,397.40 / $1,522.49	Facility		$1,227.01	$1,397.40	$1,522.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,353.32 / $1,353.32 / $1,353.32	Professional		$1,353.32	$1,353.32	$1,353.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,312.46 / $1,312.46 / $1,312.46	Facility		$1,312.46	$1,312.46	$1,312.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.28 / $1,695.82 / $7,192.47	Professional		$1,107.28	$1,695.82	$7,192.47
United Facility/Professional Professional Modifier Low / Median / High Price $941.48 / $1,396.38 / $2,018.78	Professional		$941.48	$1,396.38	$2,018.78