Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.58 / $1,288.58 / $1,400.00	Facility		$1,288.58	$1,288.58	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.58 / $1,345.23 / $1,484.15	Professional		$1,288.58	$1,345.23	$1,484.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,284.85 / $1,484.50 / $1,617.38	Facility		$1,284.85	$1,484.50	$1,617.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,437.67 / $1,437.67 / $1,437.67	Professional		$1,437.67	$1,437.67	$1,437.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.65 / $1,379.65 / $1,379.65	Facility		$1,379.65	$1,379.65	$1,379.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.06 / $1,797.09 / $5,586.28	Professional		$1,138.06	$1,797.09	$5,586.28
United Facility/Professional Professional Modifier Low / Median / High Price $976.79 / $1,395.66 / $1,993.80	Professional		$976.79	$1,395.66	$1,993.80