Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.59 / $1,387.59 / $1,400.00	Facility		$1,387.59	$1,387.59	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.59 / $1,448.71 / $1,601.21	Professional		$1,387.59	$1,448.71	$1,601.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,384.38 / $1,598.81 / $1,741.93	Facility		$1,384.38	$1,598.81	$1,741.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.38 / $1,548.38 / $1,548.38	Professional		$1,548.38	$1,548.38	$1,548.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,485.70 / $1,485.70 / $1,485.70	Facility		$1,485.70	$1,485.70	$1,485.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.17 / $2,054.05 / $8,002.25	Professional		$1,227.17	$2,054.05	$8,002.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.75 / $1,541.03 / $2,336.92	Professional		$1,120.75	$1,541.03	$2,336.92