Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.05 / $1,169.05 / $1,785.02	Facility		$1,169.05	$1,169.05	$1,785.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.70 / $1,169.05 / $1,400.48	Professional		$1,001.70	$1,169.05	$1,400.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,210.42 / $1,382.36 / $1,506.11	Facility		$1,210.42	$1,382.36	$1,506.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $687.05 / $1,338.77 / $1,338.77	Professional		$687.05	$1,338.77	$1,338.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.96 / $1,294.96 / $1,294.96	Facility		$1,294.96	$1,294.96	$1,294.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.65 / $1,561.89 / $3,170.89	Professional		$1,022.65	$1,561.89	$3,170.89
United Facility/Professional Professional Modifier Low / Median / High Price $892.51 / $1,233.57 / $1,838.11	Professional		$892.51	$1,233.57	$1,838.11