Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.42 / $1,039.42 / $1,400.00	Facility		$1,039.42	$1,039.42	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.42 / $1,088.91 / $1,208.70	Professional		$1,039.42	$1,088.91	$1,208.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,041.26 / $1,199.48 / $1,306.84	Facility		$1,041.26	$1,199.48	$1,306.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,161.65 / $1,161.65 / $1,161.65	Professional		$1,161.65	$1,161.65	$1,161.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.42 / $1,116.42 / $1,116.42	Facility		$1,116.42	$1,116.42	$1,116.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.61 / $1,539.51 / $6,140.32	Professional		$926.61	$1,539.51	$6,140.32
United Facility/Professional Professional Modifier Low / Median / High Price $837.22 / $1,281.76 / $1,901.99	Professional		$837.22	$1,281.76	$1,901.99