Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.38 / $1,148.38 / $1,747.84	Facility		$1,148.38	$1,148.38	$1,747.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.31 / $1,148.38 / $1,373.48	Professional		$1,043.31	$1,148.38	$1,373.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,182.36 / $1,353.58 / $1,474.74	Facility		$1,182.36	$1,353.58	$1,474.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $672.51 / $1,310.88 / $1,310.88	Professional		$672.51	$1,310.88	$1,310.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.99 / $1,268.99 / $1,268.99	Facility		$1,268.99	$1,268.99	$1,268.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.10 / $1,596.38 / $3,258.78	Professional		$1,046.10	$1,596.38	$3,258.78
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.83 / $1,468.49 / $2,338.59	Professional		$939.83	$1,468.49	$2,338.59