Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.02 / $1,332.02 / $1,400.00	Facility		$1,332.02	$1,332.02	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,332.02 / $1,412.08 / $1,591.62	Professional		$1,332.02	$1,412.08	$1,591.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,347.88 / $1,542.60 / $1,680.68	Facility		$1,347.88	$1,542.60	$1,680.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,493.94 / $1,493.94 / $1,493.94	Professional		$1,493.94	$1,493.94	$1,493.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,446.43 / $1,446.43 / $1,446.43	Facility		$1,446.43	$1,446.43	$1,446.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.56 / $1,867.43 / $8,101.40	Professional		$1,211.56	$1,867.43	$8,101.40
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 $1,046.72 / $1,470.36 / $2,323.28	Professional		$1,046.72	$1,470.36	$2,323.28