Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.78 / $1,177.78 / $3,550.00	Facility		$1,177.78	$1,177.78	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.81 / $1,177.78 / $1,400.73	Professional		$1,051.81	$1,177.78	$1,400.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,255.71 / $1,399.38 / $1,524.64	Facility		$1,255.71	$1,399.38	$1,524.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,355.23 / $1,355.23 / $1,355.23	Professional		$1,355.23	$1,355.23	$1,355.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,340.26 / $1,340.26 / $1,340.26	Facility		$1,340.26	$1,340.26	$1,340.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.10 / $1,543.18 / $2,815.47	Professional		$989.10	$1,543.18	$2,815.47
United Facility/Professional Professional Modifier Low / Median / High Price $961.97 / $1,524.64 / $2,620.71	Professional		$961.97	$1,524.64	$2,620.71