Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.57 / $1,204.57 / $1,400.00	Facility		$1,204.57	$1,204.57	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.07 / $1,268.14 / $1,450.60	Professional		$1,130.07	$1,268.14	$1,450.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,353.29 / $1,501.62 / $1,636.04	Facility		$1,353.29	$1,501.62	$1,636.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,454.26 / $1,454.26 / $1,454.26	Professional		$1,454.26	$1,454.26	$1,454.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,448.00 / $1,448.00 / $1,448.00	Facility		$1,448.00	$1,448.00	$1,448.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.85 / $1,817.82 / $7,679.08	Professional		$1,237.85	$1,817.82	$7,679.08
United Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $690.00 / $690.00	Facility		$690.00	$690.00	$690.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.18 / $1,585.34 / $3,280.30	Professional		$1,041.18	$1,585.34	$3,280.30