Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.36 / $1,054.36 / $1,400.00	Facility		$1,054.36	$1,054.36	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.23 / $1,088.35 / $1,188.38	Professional		$972.23	$1,088.35	$1,188.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,310.75 / $1,428.07	Facility		$1,151.00	$1,310.75	$1,428.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,269.40 / $1,269.40 / $1,269.40	Professional		$1,269.40	$1,269.40	$1,269.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.10 / $1,232.10 / $1,232.10	Facility		$1,232.10	$1,232.10	$1,232.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.66 / $1,586.75 / $5,976.88	Professional		$1,044.66	$1,586.75	$5,976.88
United Facility/Professional Professional Modifier Low / Median / High Price $869.47 / $1,202.08 / $1,748.05	Professional		$869.47	$1,202.08	$1,748.05