Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,284.39 / $1,284.39 / $1,400.00	Facility		$1,284.39	$1,284.39	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.39 / $1,366.20 / $2,708.24	Professional		$1,284.39	$1,366.20	$2,708.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,305.58 / $1,491.43 / $1,624.94	Facility		$1,305.58	$1,491.43	$1,624.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,444.39 / $1,444.39 / $1,444.39	Professional		$1,444.39	$1,444.39	$1,444.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.13 / $1,399.13 / $1,399.13	Facility		$1,399.13	$1,399.13	$1,399.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.95 / $1,805.48 / $8,176.68	Professional		$1,176.95	$1,805.48	$8,176.68
United Facility/Professional Professional Modifier Low / Median / High Price $964.70 / $1,504.22 / $2,155.60	Professional		$964.70	$1,504.22	$2,155.60