Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.10 / $1,050.10 / $1,400.00	Facility		$1,050.10	$1,050.10	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.10 / $1,098.16 / $1,217.18	Professional		$1,050.10	$1,098.16	$1,217.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,049.17 / $1,209.68 / $1,317.96	Facility		$1,049.17	$1,209.68	$1,317.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,171.52 / $1,171.52 / $1,171.52	Professional		$1,171.52	$1,171.52	$1,171.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.00 / $1,126.00 / $1,126.00	Facility		$1,126.00	$1,126.00	$1,126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.33 / $1,530.89 / $6,090.74	Professional		$932.33	$1,530.89	$6,090.74
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 $846.35 / $1,320.47 / $1,868.83	Professional		$846.35	$1,320.47	$1,868.83