Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.93 / $1,182.93 / $1,400.00	Facility		$1,182.93	$1,182.93	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.93 / $1,235.18 / $1,362.90	Professional		$1,182.93	$1,235.18	$1,362.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,179.63 / $1,362.71 / $1,484.69	Facility		$1,179.63	$1,362.71	$1,484.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,319.72 / $1,319.72 / $1,319.72	Professional		$1,319.72	$1,319.72	$1,319.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.77 / $1,266.77 / $1,266.77	Facility		$1,266.77	$1,266.77	$1,266.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.07 / $1,752.14 / $7,030.89	Professional		$1,045.07	$1,752.14	$7,030.89
United Facility/Professional Professional Modifier Low / Median / High Price $957.06 / $1,386.92 / $2,462.23	Professional		$957.06	$1,386.92	$2,462.23