Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.55 / $1,069.55 / $1,700.00	Facility		$1,069.55	$1,069.55	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.70 / $1,069.55 / $1,268.44	Professional		$1,000.70	$1,069.55	$1,268.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,058.94 / $1,270.73 / $1,384.48	Facility		$1,058.94	$1,270.73	$1,384.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.65 / $1,230.65 / $1,230.65	Professional		$1,230.65	$1,230.65	$1,230.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,214.91 / $1,214.91 / $1,214.91	Facility		$1,214.91	$1,214.91	$1,214.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.50 / $1,413.27 / $2,961.29	Professional		$896.50	$1,413.27	$2,961.29
United Facility/Professional Professional Modifier Low / Median / High Price $875.34 / $1,305.69 / $1,823.18	Professional		$875.34	$1,305.69	$1,823.18