Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.31 / $1,007.31 / $1,700.00	Facility		$1,007.31	$1,007.31	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.99 / $1,018.59 / $1,132.30	Professional		$910.99	$1,018.59	$1,132.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,055.35 / $1,170.35 / $1,275.13	Facility		$1,055.35	$1,170.35	$1,275.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,133.45 / $1,133.45 / $1,133.45	Professional		$1,133.45	$1,133.45	$1,133.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,129.83 / $1,129.83 / $1,129.83	Facility		$1,129.83	$1,129.83	$1,129.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.51 / $1,416.80 / $6,502.05	Professional		$966.51	$1,416.80	$6,502.05
United Facility/Professional Professional Modifier Low / Median / High Price $809.58 / $1,195.02 / $1,790.92	Professional		$809.58	$1,195.02	$1,790.92