Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.84 / $1,400.00 / $2,600.00	Facility		$1,065.84	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.30 / $1,065.84 / $1,313.84	Professional		$986.30	$1,065.84	$1,313.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,049.83 / $1,131.88 / $1,372.57	Facility		$1,049.83	$1,131.88	$1,372.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $625.91 / $1,220.06 / $1,220.06	Professional		$625.91	$1,220.06	$1,220.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,210.81 / $1,210.81 / $1,210.81	Facility		$1,210.81	$1,210.81	$1,210.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.71 / $1,449.55 / $2,724.90	Professional		$893.71	$1,449.55	$2,724.90
United Facility/Professional Professional Modifier Low / Median / High Price $828.79 / $1,215.56 / $1,768.08	Professional		$828.79	$1,215.56	$1,768.08