Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.36 / $1,400.00 / $2,600.00	Facility		$1,163.36	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.61 / $1,396.39 / $1,535.24	Professional		$1,158.61	$1,396.39	$1,535.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,155.16 / $1,244.56 / $1,510.27	Facility		$1,155.16	$1,244.56	$1,510.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,342.46 / $1,342.46 / $1,342.46	Professional		$1,342.46	$1,342.46	$1,342.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.63 / $1,995.63 / $1,995.63	Facility		$1,995.63	$1,995.63	$1,995.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.23 / $1,770.47 / $5,573.80	Professional		$1,182.23	$1,770.47	$5,573.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.65 / $1,674.92 / $2,501.39	Professional		$1,056.65	$1,674.92	$2,501.39