Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,481.06 / $2,254.26	Facility		$1,400.00	$1,481.06	$2,254.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.05 / $1,481.06 / $1,770.88	Professional		$1,345.05	$1,481.06	$1,770.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,524.38 / $1,745.75 / $1,902.03	Facility		$1,524.38	$1,745.75	$1,902.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $867.47 / $1,690.69 / $1,690.69	Professional		$867.47	$1,690.69	$1,690.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.73 / $1,636.73 / $1,636.73	Facility		$1,636.73	$1,636.73	$1,636.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.40 / $2,099.60 / $4,320.43	Professional		$1,348.40	$2,099.60	$4,320.43
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 $1,212.60 / $1,903.90 / $2,821.81	Professional		$1,212.60	$1,903.90	$2,821.81