Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.35 / $1,118.35 / $1,400.00	Facility		$1,118.35	$1,118.35	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.67 / $1,177.61 / $1,345.75	Professional		$1,048.67	$1,177.61	$1,345.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,256.95 / $1,395.30 / $1,520.19	Facility		$1,256.95	$1,395.30	$1,520.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,351.28 / $1,351.28 / $1,351.28	Professional		$1,351.28	$1,351.28	$1,351.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,344.66 / $1,344.66 / $1,344.66	Facility		$1,344.66	$1,344.66	$1,344.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.14 / $1,689.10 / $7,124.54	Professional		$1,149.14	$1,689.10	$7,124.54
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.06 / $1,326.96 / $2,109.67	Professional		$965.06	$1,326.96	$2,109.67