Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.63 / $1,348.63 / $2,058.48	Facility		$1,348.63	$1,348.63	$2,058.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.81 / $1,348.63 / $1,615.69	Professional		$1,134.81	$1,348.63	$1,615.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,396.48 / $1,594.14 / $1,736.84	Facility		$1,396.48	$1,594.14	$1,736.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $791.99 / $1,543.86 / $1,543.86	Professional		$791.99	$1,543.86	$1,543.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.88 / $1,494.88 / $1,494.88	Facility		$1,494.88	$1,494.88	$1,494.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.14 / $1,778.64 / $3,714.84	Professional		$1,140.14	$1,778.64	$3,714.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.86 / $1,416.04 / $2,192.44	Professional		$1,026.86	$1,416.04	$2,192.44