Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.55 / $1,384.55 / $1,400.00	Facility		$1,384.55	$1,384.55	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,384.55 / $1,466.89 / $1,654.05	Professional		$1,384.55	$1,466.89	$1,654.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,399.80 / $1,602.22 / $1,745.64	Facility		$1,399.80	$1,602.22	$1,745.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,551.68 / $1,551.68 / $1,551.68	Professional		$1,551.68	$1,551.68	$1,551.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.68 / $1,502.68 / $1,502.68	Facility		$1,502.68	$1,502.68	$1,502.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.78 / $2,024.36 / $9,028.68	Professional		$1,257.78	$2,024.36	$9,028.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.33 / $1,705.55 / $2,530.26	Professional		$1,113.33	$1,705.55	$2,530.26