Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.52 / $1,178.52 / $1,791.50	Facility		$1,178.52	$1,178.52	$1,791.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.01 / $1,178.52 / $1,413.78	Professional		$987.01	$1,178.52	$1,413.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,219.31 / $1,387.39 / $1,511.58	Facility		$1,219.31	$1,387.39	$1,511.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $689.24 / $1,343.63 / $1,343.63	Professional		$689.24	$1,343.63	$1,343.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.61 / $1,306.61 / $1,306.61	Facility		$1,306.61	$1,306.61	$1,306.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.97 / $1,546.54 / $3,158.86	Professional		$981.97	$1,546.54	$3,158.86
United Facility/Professional Professional Modifier Low / Median / High Price $895.75 / $1,229.59 / $1,804.01	Professional		$895.75	$1,229.59	$1,804.01