Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.08 / $1,122.08 / $1,400.00	Facility		$1,122.08	$1,122.08	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.08 / $1,197.60 / $1,355.36	Professional		$1,122.08	$1,197.60	$1,355.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,143.92 / $1,305.25 / $1,422.09	Facility		$1,143.92	$1,305.25	$1,422.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,264.08 / $1,264.08 / $1,264.08	Professional		$1,264.08	$1,264.08	$1,264.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.21 / $1,226.21 / $1,226.21	Facility		$1,226.21	$1,226.21	$1,226.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.18 / $1,580.10 / $6,931.74	Professional		$1,033.18	$1,580.10	$6,931.74
United Facility/Professional Professional Modifier Low / Median / High Price $850.11 / $1,291.39 / $1,909.64	Professional		$850.11	$1,291.39	$1,909.64