Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.63 / $1,193.63 / $1,818.03	Facility		$1,193.63	$1,193.63	$1,818.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.52 / $1,193.63 / $1,432.07	Professional		$990.52	$1,193.63	$1,432.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.63 / $1,407.92 / $1,533.96	Facility		$1,236.63	$1,407.92	$1,533.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $699.60 / $1,363.52 / $1,363.52	Professional		$699.60	$1,363.52	$1,363.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,323.47 / $1,323.47 / $1,323.47	Facility		$1,323.47	$1,323.47	$1,323.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.08 / $1,566.47 / $3,223.56	Professional		$992.08	$1,566.47	$3,223.56
United Facility/Professional Professional Modifier Low / Median / High Price $888.42 / $1,227.17 / $1,838.77	Professional		$888.42	$1,227.17	$1,838.77