Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.37 / $1,322.37 / $1,400.00	Facility		$1,322.37	$1,322.37	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.37 / $1,409.01 / $1,593.23	Professional		$1,322.37	$1,409.01	$1,593.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,346.17 / $1,537.13 / $1,674.73	Facility		$1,346.17	$1,537.13	$1,674.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,488.65 / $1,488.65 / $1,488.65	Professional		$1,488.65	$1,488.65	$1,488.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.82 / $1,442.82 / $1,442.82	Facility		$1,442.82	$1,442.82	$1,442.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.44 / $1,863.67 / $8,845.07	Professional		$1,214.44	$1,863.67	$8,845.07
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.49 / $1,522.75 / $2,310.12	Professional		$1,028.49	$1,522.75	$2,310.12