Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.53 / $1,017.53 / $1,400.00	Facility		$1,017.53	$1,017.53	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.53 / $1,063.52 / $1,177.43	Professional		$1,017.53	$1,063.52	$1,177.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,015.94 / $1,171.99 / $1,276.91	Facility		$1,015.94	$1,171.99	$1,276.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,135.03 / $1,135.03 / $1,135.03	Professional		$1,135.03	$1,135.03	$1,135.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.58 / $1,090.58 / $1,090.58	Facility		$1,090.58	$1,090.58	$1,090.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.97 / $1,506.14 / $6,035.64	Professional		$901.97	$1,506.14	$6,035.64
United Facility/Professional Professional Modifier Low / Median / High Price $821.04 / $1,315.38 / $2,614.04	Professional		$821.04	$1,315.38	$2,614.04