Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.27 / $1,058.27 / $1,400.00	Facility		$1,058.27	$1,058.27	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.32 / $1,085.18 / $1,269.23	Professional		$893.32	$1,085.18	$1,269.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,074.29 / $1,228.09 / $1,338.04	Facility		$1,074.29	$1,228.09	$1,338.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,189.36 / $1,189.36 / $1,189.36	Professional		$1,189.36	$1,189.36	$1,189.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.59 / $1,151.59 / $1,151.59	Facility		$1,151.59	$1,151.59	$1,151.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.45 / $1,515.69 / $6,795.84	Professional		$967.45	$1,515.69	$6,795.84
United Facility/Professional Professional Modifier Low / Median / High Price $845.27 / $1,326.38 / $1,915.22	Professional		$845.27	$1,326.38	$1,915.22