Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.48 / $1,138.48 / $1,400.00	Facility		$1,138.48	$1,138.48	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.48 / $1,190.09 / $1,316.70	Professional		$1,138.48	$1,190.09	$1,316.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,136.20 / $1,310.98 / $1,428.33	Facility		$1,136.20	$1,310.98	$1,428.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,269.61 / $1,269.61 / $1,269.61	Professional		$1,269.61	$1,269.61	$1,269.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,220.38 / $1,220.38 / $1,220.38	Facility		$1,220.38	$1,220.38	$1,220.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.37 / $1,587.03 / $4,947.01	Professional		$1,008.37	$1,587.03	$4,947.01
United Facility/Professional Professional Modifier Low / Median / High Price $760.80 / $1,033.69 / $1,736.88	Professional		$760.80	$1,033.69	$1,736.88