Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.30 / $1,363.30 / $2,084.23	Facility		$1,363.30	$1,363.30	$2,084.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,242.64 / $1,363.30 / $1,637.39	Professional		$1,242.64	$1,363.30	$1,637.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.96 / $1,614.10 / $1,758.58	Facility		$1,412.96	$1,614.10	$1,758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $801.95 / $1,563.18 / $1,563.18	Professional		$801.95	$1,563.18	$1,563.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,514.70 / $1,514.70 / $1,514.70	Facility		$1,514.70	$1,514.70	$1,514.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.70 / $1,837.74 / $3,845.43	Professional		$1,262.70	$1,837.74	$3,845.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.88 / $1,531.02 / $2,204.88	Professional		$1,066.88	$1,531.02	$2,204.88