Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.40 / $1,397.40 / $2,130.67	Facility		$1,397.40	$1,397.40	$2,130.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.94 / $1,397.40 / $1,673.37	Professional		$1,186.94	$1,397.40	$1,673.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.51 / $1,650.06 / $1,797.75	Facility		$1,445.51	$1,650.06	$1,797.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $819.67 / $1,598.00 / $1,598.00	Professional		$819.67	$1,598.00	$1,598.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,547.29 / $1,547.29 / $1,547.29	Facility		$1,547.29	$1,547.29	$1,547.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.64 / $1,830.98 / $3,814.98	Professional		$1,197.64	$1,830.98	$3,814.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.33 / $1,561.23 / $3,089.17	Professional		$1,065.33	$1,561.23	$3,089.17