Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.97 / $1,345.97 / $1,400.00	Facility		$1,345.97	$1,345.97	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.97 / $1,404.19 / $1,549.36	Professional		$1,345.97	$1,404.19	$1,549.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,342.10 / $1,551.10 / $1,689.94	Facility		$1,342.10	$1,551.10	$1,689.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,502.17 / $1,502.17 / $1,502.17	Professional		$1,502.17	$1,502.17	$1,502.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.19 / $1,440.19 / $1,440.19	Facility		$1,440.19	$1,440.19	$1,440.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.40 / $1,967.47 / $6,713.23	Professional		$1,188.40	$1,967.47	$6,713.23
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 $1,088.78 / $1,485.64 / $2,360.56	Professional		$1,088.78	$1,485.64	$2,360.56