Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.17 / $1,158.17 / $1,400.00	Facility		$1,158.17	$1,158.17	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.17 / $1,222.02 / $1,381.89	Professional		$1,158.17	$1,222.02	$1,381.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,170.56 / $1,333.79 / $1,453.18	Facility		$1,170.56	$1,333.79	$1,453.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,291.72 / $1,291.72 / $1,291.72	Professional		$1,291.72	$1,291.72	$1,291.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,252.78 / $1,252.78 / $1,252.78	Facility		$1,252.78	$1,252.78	$1,252.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.61 / $1,614.65 / $6,639.77	Professional		$1,055.61	$1,614.65	$6,639.77
United Facility/Professional Professional Modifier Low / Median / High Price $928.69 / $1,281.31 / $1,963.32	Professional		$928.69	$1,281.31	$1,963.32