Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.66 / $1,076.66 / $1,400.00	Facility		$1,076.66	$1,076.66	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.66 / $1,126.23 / $1,246.47	Professional		$1,076.66	$1,126.23	$1,246.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.30 / $1,241.70 / $1,352.85	Facility		$1,076.30	$1,241.70	$1,352.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.53 / $1,202.53 / $1,202.53	Professional		$1,202.53	$1,202.53	$1,202.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,154.83 / $1,154.83 / $1,154.83	Facility		$1,154.83	$1,154.83	$1,154.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.63 / $1,594.98 / $6,801.36	Professional		$955.63	$1,594.98	$6,801.36
United Facility/Professional Professional Modifier Low / Median / High Price $869.41 / $1,284.35 / $2,008.79	Professional		$869.41	$1,284.35	$2,008.79