Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.59 / $1,199.59 / $1,400.00	Facility		$1,199.59	$1,199.59	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.59 / $1,255.03 / $1,388.29	Professional		$1,199.59	$1,255.03	$1,388.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,198.33 / $1,382.76 / $1,506.53	Facility		$1,198.33	$1,382.76	$1,506.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,339.14 / $1,339.14 / $1,339.14	Professional		$1,339.14	$1,339.14	$1,339.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.90 / $1,286.90 / $1,286.90	Facility		$1,286.90	$1,286.90	$1,286.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.60 / $1,777.95 / $7,073.14	Professional		$1,063.60	$1,777.95	$7,073.14
United Facility/Professional Professional Modifier Low / Median / High Price $968.31 / $1,391.95 / $2,235.15	Professional		$968.31	$1,391.95	$2,235.15