Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.94 / $1,381.94 / $1,400.00	Facility		$1,381.94	$1,381.94	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.94 / $1,471.64 / $1,663.23	Professional		$1,381.94	$1,471.64	$1,663.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,406.15 / $1,606.24 / $1,750.02	Facility		$1,406.15	$1,606.24	$1,750.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,555.57 / $1,555.57 / $1,555.57	Professional		$1,555.57	$1,555.57	$1,555.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,507.02 / $1,507.02 / $1,507.02	Facility		$1,507.02	$1,507.02	$1,507.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.84 / $1,951.36 / $8,789.96	Professional		$1,267.84	$1,951.36	$8,789.96
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.54 / $1,653.92 / $2,419.83	Professional		$1,107.54	$1,653.92	$2,419.83