Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,642.93 / $2,505.79	Facility		$1,400.00	$1,642.93	$2,505.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.10 / $1,642.93 / $2,253.39	Professional		$1,373.10	$1,642.93	$2,253.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,700.80 / $1,940.56 / $2,114.26	Facility		$1,700.80	$1,940.56	$2,114.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $964.25 / $1,879.34 / $1,879.34	Professional		$964.25	$1,879.34	$1,879.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,821.35 / $1,821.35 / $1,821.35	Facility		$1,821.35	$1,821.35	$1,821.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.59 / $2,150.42 / $4,195.78	Professional		$1,378.59	$2,150.42	$4,195.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,252.90 / $1,869.22 / $2,525.48	Professional		$1,252.90	$1,869.22	$2,525.48