Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.58 / $1,222.58 / $1,400.00	Facility		$1,222.58	$1,222.58	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.58 / $1,302.43 / $1,473.37	Professional		$1,222.58	$1,302.43	$1,473.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,243.82 / $1,420.24 / $1,547.37	Facility		$1,243.82	$1,420.24	$1,547.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,375.44 / $1,375.44 / $1,375.44	Professional		$1,375.44	$1,375.44	$1,375.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.73 / $1,333.73 / $1,333.73	Facility		$1,333.73	$1,333.73	$1,333.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.98 / $1,726.72 / $7,522.99	Professional		$1,121.98	$1,726.72	$7,522.99
United Facility/Professional Professional Modifier Low / Median / High Price $954.03 / $1,523.66 / $2,397.73	Professional		$954.03	$1,523.66	$2,397.73