Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.11 / $1,319.11 / $1,400.00	Facility		$1,319.11	$1,319.11	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.31 / $1,353.78 / $1,585.62	Professional		$1,258.31	$1,353.78	$1,585.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,340.96 / $1,532.39 / $1,669.56	Facility		$1,340.96	$1,532.39	$1,669.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,484.05 / $1,484.05 / $1,484.05	Professional		$1,484.05	$1,484.05	$1,484.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.20 / $1,437.20 / $1,437.20	Facility		$1,437.20	$1,437.20	$1,437.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.33 / $1,871.82 / $8,185.86	Professional		$1,208.33	$1,871.82	$8,185.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.70 / $1,588.20 / $2,322.25	Professional		$1,057.70	$1,588.20	$2,322.25