Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.60 / $1,247.60 / $1,912.80	Facility		$1,247.60	$1,247.60	$1,912.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.26 / $1,247.60 / $1,707.31	Professional		$1,114.26	$1,247.60	$1,707.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,310.67 / $1,481.32 / $1,613.93	Facility		$1,310.67	$1,481.32	$1,613.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $736.04 / $1,434.60 / $1,434.60	Professional		$736.04	$1,434.60	$1,434.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.41 / $1,399.41 / $1,399.41	Facility		$1,399.41	$1,399.41	$1,399.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.17 / $1,573.50 / $3,034.71	Professional		$1,016.17	$1,573.50	$3,034.71
United Facility/Professional Professional Modifier Low / Median / High Price $938.08 / $1,246.46 / $1,912.80	Professional		$938.08	$1,246.46	$1,912.80