Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.99 / $1,013.99 / $3,550.00	Facility		$1,013.99	$1,013.99	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.94 / $1,013.99 / $1,209.41	Professional		$866.94	$1,013.99	$1,209.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,005.40 / $1,206.48 / $1,314.48	Facility		$1,005.40	$1,206.48	$1,314.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,168.43 / $1,168.43 / $1,168.43	Professional		$1,168.43	$1,168.43	$1,168.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,156.88 / $1,156.88 / $1,156.88	Facility		$1,156.88	$1,156.88	$1,156.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.81 / $1,346.57 / $2,793.40	Professional		$853.81	$1,346.57	$2,793.40
United Facility/Professional Professional Modifier Low / Median / High Price $828.02 / $1,231.69 / $1,906.64	Professional		$828.02	$1,231.69	$1,906.64