Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.16 / $1,087.16 / $1,600.00	Facility		$1,087.16	$1,087.16	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.08 / $1,146.19 / $1,309.33	Professional		$1,020.08	$1,146.19	$1,309.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,222.83 / $1,357.07 / $1,478.55	Facility		$1,222.83	$1,357.07	$1,478.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,314.26 / $1,314.26 / $1,314.26	Professional		$1,314.26	$1,314.26	$1,314.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.67 / $1,308.67 / $1,308.67	Facility		$1,308.67	$1,308.67	$1,308.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.43 / $1,642.83 / $6,446.96	Professional		$1,118.43	$1,642.83	$6,446.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.13 / $1,339.38 / $2,043.54	Professional		$939.13	$1,339.38	$2,043.54