Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.67 / $1,298.67 / $1,400.00	Facility		$1,298.67	$1,298.67	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.67 / $1,355.75 / $1,495.90	Professional		$1,298.67	$1,355.75	$1,495.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,294.17 / $1,495.04 / $1,628.87	Facility		$1,294.17	$1,495.04	$1,628.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,447.88 / $1,447.88 / $1,447.88	Professional		$1,447.88	$1,447.88	$1,447.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.42 / $1,390.42 / $1,390.42	Facility		$1,390.42	$1,390.42	$1,390.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.43 / $1,871.61 / $7,791.09	Professional		$1,146.43	$1,871.61	$7,791.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.71 / $1,689.20 / $2,302.04	Professional		$1,036.71	$1,689.20	$2,302.04