Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.77 / $1,078.77 / $1,400.00	Facility		$1,078.77	$1,078.77	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.77 / $1,126.32 / $1,244.57	Professional		$1,078.77	$1,126.32	$1,244.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,075.88 / $1,242.30 / $1,353.51	Facility		$1,075.88	$1,242.30	$1,353.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,203.11 / $1,203.11 / $1,203.11	Professional		$1,203.11	$1,203.11	$1,203.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.10 / $1,155.10 / $1,155.10	Facility		$1,155.10	$1,155.10	$1,155.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.77 / $1,596.89 / $6,327.60	Professional		$953.77	$1,596.89	$6,327.60
United Facility/Professional Professional Modifier Low / Median / High Price $871.74 / $1,275.71 / $2,214.38	Professional		$871.74	$1,275.71	$2,214.38