Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.83 / $1,093.83 / $1,400.00	Facility		$1,093.83	$1,093.83	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.83 / $1,177.24 / $1,330.64	Professional		$1,093.83	$1,177.24	$1,330.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.22 / $1,284.80 / $1,399.82	Facility		$1,124.22	$1,284.80	$1,399.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,244.28 / $1,244.28 / $1,244.28	Professional		$1,244.28	$1,244.28	$1,244.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,205.71 / $1,205.71 / $1,205.71	Facility		$1,205.71	$1,205.71	$1,205.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.58 / $1,555.35 / $6,507.57	Professional		$1,012.58	$1,555.35	$6,507.57
United Facility/Professional Professional Modifier Low / Median / High Price $851.37 / $1,354.37 / $1,775.01	Professional		$851.37	$1,354.37	$1,775.01