Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.73 / $1,074.73 / $1,400.00	Facility		$1,074.73	$1,074.73	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.27 / $1,132.86 / $1,294.35	Professional		$1,008.27	$1,132.86	$1,294.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,208.05 / $1,340.34 / $1,460.32	Facility		$1,208.05	$1,340.34	$1,460.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,298.06 / $1,298.06 / $1,298.06	Professional		$1,298.06	$1,298.06	$1,298.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.49 / $1,293.49 / $1,293.49	Facility		$1,293.49	$1,293.49	$1,293.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.97 / $1,622.58 / $6,737.09	Professional		$1,104.97	$1,622.58	$6,737.09
United Facility/Professional Professional Modifier Low / Median / High Price $928.06 / $1,319.37 / $2,018.33	Professional		$928.06	$1,319.37	$2,018.33