Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.88 / $1,081.88 / $1,400.00	Facility		$1,081.88	$1,081.88	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.88 / $1,130.68 / $1,251.54	Professional		$1,081.88	$1,130.68	$1,251.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.28 / $1,246.55 / $1,358.14	Facility		$1,080.28	$1,246.55	$1,358.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,207.24 / $1,207.24 / $1,207.24	Professional		$1,207.24	$1,207.24	$1,207.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,159.48 / $1,159.48 / $1,159.48	Facility		$1,159.48	$1,159.48	$1,159.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.75 / $1,601.67 / $6,483.70	Professional		$958.75	$1,601.67	$6,483.70
United Facility/Professional Professional Modifier Low / Median / High Price $873.70 / $1,357.57 / $2,020.24	Professional		$873.70	$1,357.57	$2,020.24