Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.42 / $1,272.42 / $1,400.00	Facility		$1,272.42	$1,272.42	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.42 / $1,329.30 / $1,465.90	Professional		$1,272.42	$1,329.30	$1,465.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,269.28 / $1,466.36 / $1,597.62	Facility		$1,269.28	$1,466.36	$1,597.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,420.10 / $1,420.10 / $1,420.10	Professional		$1,420.10	$1,420.10	$1,420.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,363.27 / $1,363.27 / $1,363.27	Facility		$1,363.27	$1,363.27	$1,363.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.45 / $1,836.70 / $7,638.68	Professional		$1,124.45	$1,836.70	$7,638.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.36 / $1,446.72 / $2,259.46	Professional		$1,010.36	$1,446.72	$2,259.46