Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.91 / $1,130.91 / $1,400.00	Facility		$1,130.91	$1,130.91	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.95 / $1,167.05 / $1,309.64	Professional		$1,041.95	$1,167.05	$1,309.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,234.54 / $1,407.01 / $1,532.97	Facility		$1,234.54	$1,407.01	$1,532.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,362.64 / $1,362.64 / $1,362.64	Professional		$1,362.64	$1,362.64	$1,362.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,321.30 / $1,321.30 / $1,321.30	Facility		$1,321.30	$1,321.30	$1,321.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.30 / $1,703.30 / $6,678.32	Professional		$1,119.30	$1,703.30	$6,678.32
United Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $690.00 / $690.00	Facility		$690.00	$690.00	$690.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.88 / $1,226.36 / $1,874.62	Professional		$958.88	$1,226.36	$1,874.62