Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.36 / $1,400.00 / $1,664.58	Facility		$1,089.36	$1,400.00	$1,664.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.36 / $1,089.36 / $1,351.36	Professional		$942.36	$1,089.36	$1,351.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,164.83 / $1,289.09 / $1,404.49	Facility		$1,164.83	$1,289.09	$1,404.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $640.45 / $1,248.43 / $1,248.43	Professional		$640.45	$1,248.43	$1,248.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.93 / $1,246.93 / $1,246.93	Facility		$1,246.93	$1,246.93	$1,246.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.03 / $1,456.51 / $2,994.56	Professional		$935.03	$1,456.51	$2,994.56
United Facility/Professional Professional Modifier Low / Median / High Price $792.74 / $1,123.58 / $1,713.11	Professional		$792.74	$1,123.58	$1,713.11