Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.45 / $1,391.45 / $2,117.36	Facility		$1,391.45	$1,391.45	$2,117.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.06 / $1,391.45 / $1,667.71	Professional		$1,169.06	$1,391.45	$1,667.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,438.31 / $1,639.74 / $1,786.52	Facility		$1,438.31	$1,639.74	$1,786.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $814.69 / $1,588.02 / $1,588.02	Professional		$814.69	$1,588.02	$1,588.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,541.29 / $1,541.29 / $1,541.29	Facility		$1,541.29	$1,541.29	$1,541.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.68 / $1,848.45 / $3,844.99	Professional		$1,172.68	$1,848.45	$3,844.99
United Facility/Professional Professional Modifier Low / Median / High Price $982.30 / $1,429.22 / $2,147.90	Professional		$982.30	$1,429.22	$2,147.90