Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.94 / $1,001.94 / $1,400.00	Facility		$1,001.94	$1,001.94	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.37 / $1,037.11 / $1,204.81	Professional		$880.37	$1,037.11	$1,204.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,018.84 / $1,164.19 / $1,268.41	Facility		$1,018.84	$1,164.19	$1,268.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,127.47 / $1,127.47 / $1,127.47	Professional		$1,127.47	$1,127.47	$1,127.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.94 / $1,091.94 / $1,091.94	Facility		$1,091.94	$1,091.94	$1,091.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.17 / $1,442.76 / $6,467.17	Professional		$918.17	$1,442.76	$6,467.17
United Facility/Professional Professional Modifier Low / Median / High Price $804.26 / $1,237.81 / $1,786.17	Professional		$804.26	$1,237.81	$1,786.17