Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.22 / $1,027.22 / $1,400.00	Facility		$1,027.22	$1,027.22	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.22 / $1,068.36 / $1,190.79	Professional		$1,027.22	$1,068.36	$1,190.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,021.92 / $1,173.58 / $1,278.64	Facility		$1,021.92	$1,173.58	$1,278.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,136.57 / $1,136.57 / $1,136.57	Professional		$1,136.57	$1,136.57	$1,136.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.67 / $1,096.67 / $1,096.67	Facility		$1,096.67	$1,096.67	$1,096.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.75 / $1,507.74 / $4,451.22	Professional		$909.75	$1,507.74	$4,451.22
United Facility/Professional Professional Modifier Low / Median / High Price $831.07 / $1,342.57 / $2,057.51	Professional		$831.07	$1,342.57	$2,057.51