Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.10 / $1,202.10 / $3,550.00	Facility		$1,202.10	$1,202.10	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.18 / $1,216.21 / $1,350.41	Professional		$1,087.18	$1,216.21	$1,350.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,260.74 / $1,398.64 / $1,523.84	Facility		$1,260.74	$1,398.64	$1,523.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,354.52 / $1,354.52 / $1,354.52	Professional		$1,354.52	$1,354.52	$1,354.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.10 / $1,349.10 / $1,349.10	Facility		$1,349.10	$1,349.10	$1,349.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.11 / $1,786.91 / $7,835.15	Professional		$1,154.11	$1,786.91	$7,835.15
United Facility/Professional Professional Modifier Low / Median / High Price $967.11 / $1,454.44 / $2,121.05	Professional		$967.11	$1,454.44	$2,121.05