Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.47 / $1,007.47 / $1,400.00	Facility		$1,007.47	$1,007.47	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.47 / $1,068.66 / $1,201.43	Professional		$1,007.47	$1,068.66	$1,201.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,024.53 / $1,172.71 / $1,277.68	Facility		$1,024.53	$1,172.71	$1,277.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,135.72 / $1,135.72 / $1,135.72	Professional		$1,135.72	$1,135.72	$1,135.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.59 / $1,101.59 / $1,101.59	Facility		$1,101.59	$1,101.59	$1,101.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.88 / $1,509.53 / $4,480.85	Professional		$916.88	$1,509.53	$4,480.85
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 $820.98 / $1,295.27 / $1,948.50	Professional		$820.98	$1,295.27	$1,948.50