Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.63 / $1,147.63 / $3,550.00	Facility		$1,147.63	$1,147.63	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.08 / $1,209.21 / $1,379.90	Professional		$1,077.08	$1,209.21	$1,379.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,289.58 / $1,430.54 / $1,558.59	Facility		$1,289.58	$1,430.54	$1,558.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,385.41 / $1,385.41 / $1,385.41	Professional		$1,385.41	$1,385.41	$1,385.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.52 / $1,380.52 / $1,380.52	Facility		$1,380.52	$1,380.52	$1,380.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.20 / $1,731.77 / $6,276.18	Professional		$1,180.20	$1,731.77	$6,276.18
United Facility/Professional Professional Modifier Low / Median / High Price $990.03 / $1,416.70 / $2,167.35	Professional		$990.03	$1,416.70	$2,167.35