Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.55 / $1,400.00 / $3,050.00	Facility		$1,311.55	$1,400.00	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.90 / $1,311.55 / $1,568.77	Professional		$1,108.90	$1,311.55	$1,568.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,353.07 / $1,544.89 / $1,683.19	Facility		$1,353.07	$1,544.89	$1,683.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $767.70 / $1,496.17 / $1,496.17	Professional		$767.70	$1,496.17	$1,496.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.27 / $1,450.27 / $1,450.27	Facility		$1,450.27	$1,450.27	$1,450.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.25 / $1,730.87 / $3,612.84	Professional		$1,115.25	$1,730.87	$3,612.84
United Facility/Professional Professional Modifier Low / Median / High Price $997.45 / $1,400.42 / $2,068.17	Professional		$997.45	$1,400.42	$2,068.17