Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.71 / $1,399.71 / $1,400.00	Facility		$1,399.71	$1,399.71	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.71 / $1,464.72 / $1,618.49	Professional		$1,399.71	$1,464.72	$1,618.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,399.86 / $1,616.05 / $1,760.71	Facility		$1,399.86	$1,616.05	$1,760.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,565.08 / $1,565.08 / $1,565.08	Professional		$1,565.08	$1,565.08	$1,565.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.02 / $1,502.02 / $1,502.02	Facility		$1,502.02	$1,502.02	$1,502.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.65 / $2,005.43 / $6,399.21	Professional		$1,241.65	$2,005.43	$6,399.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.55 / $1,542.41 / $2,289.08	Professional		$1,131.55	$1,542.41	$2,289.08