Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.06 / $1,063.06 / $1,400.00	Facility		$1,063.06	$1,063.06	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.30 / $1,120.42 / $1,279.84	Professional		$997.30	$1,120.42	$1,279.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,194.82 / $1,325.60 / $1,444.27	Facility		$1,194.82	$1,325.60	$1,444.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,283.80 / $1,283.80 / $1,283.80	Professional		$1,283.80	$1,283.80	$1,283.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,279.26 / $1,279.26 / $1,279.26	Facility		$1,279.26	$1,279.26	$1,279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.98 / $1,626.63 / $7,319.18	Professional		$1,092.98	$1,626.63	$7,319.18
United Facility/Professional Professional Modifier Low / Median / High Price $917.42 / $1,318.80 / $2,017.66	Professional		$917.42	$1,318.80	$2,017.66