Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.18 / $1,032.18 / $3,050.00	Facility		$1,032.18	$1,032.18	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.18 / $1,081.08 / $1,197.17	Professional		$1,032.18	$1,081.08	$1,197.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,033.22 / $1,190.95 / $1,297.57	Facility		$1,033.22	$1,190.95	$1,297.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,153.39 / $1,153.39 / $1,153.39	Professional		$1,153.39	$1,153.39	$1,153.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.48 / $1,108.48 / $1,108.48	Facility		$1,108.48	$1,108.48	$1,108.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.46 / $1,529.66 / $5,914.45	Professional		$918.46	$1,529.66	$5,914.45
United Facility/Professional Professional Modifier Low / Median / High Price $832.96 / $1,208.88 / $1,772.44	Professional		$832.96	$1,208.88	$1,772.44