Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.41 / $1,042.41 / $1,400.00	Facility		$1,042.41	$1,042.41	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.41 / $1,089.49 / $1,205.82	Professional		$1,042.41	$1,089.49	$1,205.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,040.99 / $1,201.00 / $1,308.50	Facility		$1,040.99	$1,201.00	$1,308.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,163.10 / $1,163.10 / $1,163.10	Professional		$1,163.10	$1,163.10	$1,163.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,117.19 / $1,117.19 / $1,117.19	Facility		$1,117.19	$1,117.19	$1,117.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.17 / $1,543.02 / $6,491.04	Professional		$924.17	$1,543.02	$6,491.04
United Facility/Professional Professional Modifier Low / Median / High Price $841.37 / $1,354.51 / $2,018.91	Professional		$841.37	$1,354.51	$2,018.91