Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.33 / $1,123.33 / $1,400.00	Facility		$1,123.33	$1,123.33	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.33 / $1,175.08 / $1,314.69	Professional		$1,123.33	$1,175.08	$1,314.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,121.50 / $1,283.61 / $1,398.52	Facility		$1,121.50	$1,283.61	$1,398.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,243.13 / $1,243.13 / $1,243.13	Professional		$1,243.13	$1,243.13	$1,243.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,205.58 / $1,205.58 / $1,205.58	Facility		$1,205.58	$1,205.58	$1,205.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.69 / $1,651.85 / $4,904.93	Professional		$1,003.69	$1,651.85	$4,904.93
United Facility/Professional Professional Modifier Low / Median / High Price $909.78 / $1,433.98 / $2,162.30	Professional		$909.78	$1,433.98	$2,162.30