Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.66 / $1,028.66 / $1,400.00	Facility		$1,028.66	$1,028.66	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.66 / $1,088.44 / $1,235.32	Professional		$1,028.66	$1,088.44	$1,235.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,041.72 / $1,184.83 / $1,290.90	Facility		$1,041.72	$1,184.83	$1,290.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,147.46 / $1,147.46 / $1,147.46	Professional		$1,147.46	$1,147.46	$1,147.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.54 / $1,115.54 / $1,115.54	Facility		$1,115.54	$1,115.54	$1,115.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.88 / $1,434.34 / $5,350.74	Professional		$941.88	$1,434.34	$5,350.74
United Facility/Professional Professional Modifier Low / Median / High Price $789.68 / $1,130.66 / $1,661.91	Professional		$789.68	$1,130.66	$1,661.91