Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.65 / $1,275.65 / $3,050.00	Facility		$1,275.65	$1,275.65	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.65 / $1,369.92 / $1,568.13	Professional		$1,275.65	$1,369.92	$1,568.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,316.69 / $1,480.40 / $1,612.93	Facility		$1,316.69	$1,480.40	$1,612.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,433.71 / $1,433.71 / $1,433.71	Professional		$1,433.71	$1,433.71	$1,433.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.12 / $1,407.12 / $1,407.12	Facility		$1,407.12	$1,407.12	$1,407.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.42 / $1,792.14 / $6,808.69	Professional		$1,200.42	$1,792.14	$6,808.69
United Facility/Professional Professional Modifier Low / Median / High Price $968.61 / $1,493.78 / $2,150.14	Professional		$968.61	$1,493.78	$2,150.14