Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.33 / $1,022.33 / $3,550.00	Facility		$1,022.33	$1,022.33	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.61 / $1,078.93 / $1,230.34	Professional		$960.61	$1,078.93	$1,230.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,276.97 / $1,276.97 / $1,391.28	Facility		$1,276.97	$1,276.97	$1,391.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,236.70 / $1,236.70 / $1,236.70	Professional		$1,236.70	$1,236.70	$1,236.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,231.55 / $1,231.55 / $1,231.55	Facility		$1,231.55	$1,231.55	$1,231.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.98 / $1,557.41 / $9,814.60	Professional		$1,054.98	$1,557.41	$9,814.60
United Facility/Professional Professional Modifier Low / Median / High Price $880.45 / $1,237.04 / $2,069.62	Professional		$880.45	$1,237.04	$2,069.62