Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.55 / $1,162.55 / $1,400.00	Facility		$1,162.55	$1,162.55	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.55 / $1,214.77 / $1,340.90	Professional		$1,162.55	$1,214.77	$1,340.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.85 / $1,341.13 / $1,461.19	Facility		$1,160.85	$1,341.13	$1,461.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,298.83 / $1,298.83 / $1,298.83	Professional		$1,298.83	$1,298.83	$1,298.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,245.83 / $1,245.83 / $1,245.83	Facility		$1,245.83	$1,245.83	$1,245.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.49 / $1,667.61 / $5,442.56	Professional		$1,028.49	$1,667.61	$5,442.56
United Facility/Professional Professional Modifier Low / Median / High Price $927.19 / $1,212.24 / $1,916.19	Professional		$927.19	$1,212.24	$1,916.19