Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.00 / $1,312.00 / $1,400.00	Facility		$1,312.00	$1,312.00	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.00 / $1,389.94 / $1,567.80	Professional		$1,312.00	$1,389.94	$1,567.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,326.46 / $1,517.69 / $1,653.55	Facility		$1,326.46	$1,517.69	$1,653.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,469.82 / $1,469.82 / $1,469.82	Professional		$1,469.82	$1,469.82	$1,469.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.75 / $1,423.75 / $1,423.75	Facility		$1,423.75	$1,423.75	$1,423.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.59 / $1,837.28 / $7,943.48	Professional		$1,192.59	$1,837.28	$7,943.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.07 / $1,488.13 / $2,179.94	Professional		$1,053.07	$1,488.13	$2,179.94