Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.32 / $1,101.32 / $1,400.00	Facility		$1,101.32	$1,101.32	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.32 / $1,152.82 / $1,275.89	Professional		$1,101.32	$1,152.82	$1,275.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,100.92 / $1,270.04 / $1,383.74	Facility		$1,100.92	$1,270.04	$1,383.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,229.99 / $1,229.99 / $1,229.99	Professional		$1,229.99	$1,229.99	$1,229.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.05 / $1,182.05 / $1,182.05	Facility		$1,182.05	$1,182.05	$1,182.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.57 / $1,537.49 / $5,354.42	Professional		$977.57	$1,537.49	$5,354.42
United Facility/Professional Professional Modifier Low / Median / High Price $832.93 / $1,221.63 / $1,688.54	Professional		$832.93	$1,221.63	$1,688.54