Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.33 / $1,233.33 / $1,400.00	Facility		$1,233.33	$1,233.33	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.33 / $1,300.74 / $1,471.63	Professional		$1,233.33	$1,300.74	$1,471.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,245.89 / $1,419.52 / $1,546.57	Facility		$1,245.89	$1,419.52	$1,546.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,374.73 / $1,374.73 / $1,374.73	Professional		$1,374.73	$1,374.73	$1,374.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.51 / $1,333.51 / $1,333.51	Facility		$1,333.51	$1,333.51	$1,333.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.44 / $1,772.76 / $7,947.15	Professional		$1,123.44	$1,772.76	$7,947.15
United Facility/Professional Professional Modifier Low / Median / High Price $963.96 / $1,492.76 / $2,430.54	Professional		$963.96	$1,492.76	$2,430.54