Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.58 / $1,295.58 / $1,400.00	Facility		$1,295.58	$1,295.58	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,295.58 / $1,353.85 / $1,496.49	Professional		$1,295.58	$1,353.85	$1,496.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,292.91 / $1,492.46 / $1,626.08	Facility		$1,292.91	$1,492.46	$1,626.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,445.40 / $1,445.40 / $1,445.40	Professional		$1,445.40	$1,445.40	$1,445.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.34 / $1,388.34 / $1,388.34	Facility		$1,388.34	$1,388.34	$1,388.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.73 / $1,918.98 / $7,429.35	Professional		$1,146.73	$1,918.98	$7,429.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,046.06 / $1,513.32 / $2,325.56	Professional		$1,046.06	$1,513.32	$2,325.56