Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.70 / $1,223.70 / $1,868.96	Facility		$1,223.70	$1,223.70	$1,868.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.33 / $1,223.70 / $1,467.31	Professional		$996.33	$1,223.70	$1,467.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,268.83 / $1,447.38 / $1,576.94	Facility		$1,268.83	$1,447.38	$1,576.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $719.31 / $1,401.72 / $1,401.72	Professional		$719.31	$1,401.72	$1,401.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.84 / $1,357.84 / $1,357.84	Facility		$1,357.84	$1,357.84	$1,357.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.28 / $1,607.48 / $3,348.06	Professional		$1,028.28	$1,607.48	$3,348.06
United Facility/Professional Professional Modifier Low / Median / High Price $920.86 / $1,263.96 / $1,908.52	Professional		$920.86	$1,263.96	$1,908.52