Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.93 / $1,031.93 / $1,400.00	Facility		$1,031.93	$1,031.93	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.27 / $1,078.46 / $1,176.33	Professional		$969.27	$1,078.46	$1,176.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,135.72 / $1,268.74 / $1,382.31	Facility		$1,135.72	$1,268.74	$1,382.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,228.72 / $1,228.72 / $1,228.72	Professional		$1,228.72	$1,228.72	$1,228.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.09 / $1,226.09 / $1,226.09	Facility		$1,226.09	$1,226.09	$1,226.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.24 / $1,535.90 / $5,894.26	Professional		$1,042.24	$1,535.90	$5,894.26
United Facility/Professional Professional Modifier Low / Median / High Price $842.54 / $1,241.56 / $1,876.24	Professional		$842.54	$1,241.56	$1,876.24