Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.25 / $1,013.25 / $1,400.00	Facility		$1,013.25	$1,013.25	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.09 / $1,068.56 / $1,218.79	Professional		$951.09	$1,068.56	$1,218.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,140.47 / $1,265.46 / $1,378.73	Facility		$1,140.47	$1,265.46	$1,378.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,225.54 / $1,225.54 / $1,225.54	Professional		$1,225.54	$1,225.54	$1,225.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.99 / $1,219.99 / $1,219.99	Facility		$1,219.99	$1,219.99	$1,219.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.52 / $1,542.96 / $7,190.63	Professional		$1,043.52	$1,542.96	$7,190.63
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 $874.53 / $1,337.59 / $1,941.14	Professional		$874.53	$1,337.59	$1,941.14