Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.77 / $1,400.00 / $1,605.47	Facility		$1,049.77	$1,400.00	$1,605.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.78 / $1,049.77 / $1,262.09	Professional		$867.78	$1,049.77	$1,262.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,092.49 / $1,243.32 / $1,354.62	Facility		$1,092.49	$1,243.32	$1,354.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $617.95 / $1,204.09 / $1,204.09	Professional		$617.95	$1,204.09	$1,204.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.74 / $1,168.74 / $1,168.74	Facility		$1,168.74	$1,168.74	$1,168.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.74 / $1,392.80 / $2,884.50	Professional		$865.74	$1,392.80	$2,884.50
United Facility/Professional Professional Modifier Low / Median / High Price $778.18 / $1,070.00 / $1,746.86	Professional		$778.18	$1,070.00	$1,746.86