Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.92 / $1,106.92 / $1,400.00	Facility		$1,106.92	$1,106.92	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.79 / $1,121.09 / $1,246.94	Professional		$1,001.79	$1,121.09	$1,246.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,162.28 / $1,288.86 / $1,404.24	Facility		$1,162.28	$1,288.86	$1,404.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,248.22 / $1,248.22 / $1,248.22	Professional		$1,248.22	$1,248.22	$1,248.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.49 / $1,243.49 / $1,243.49	Facility		$1,243.49	$1,243.49	$1,243.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.74 / $1,560.28 / $6,333.12	Professional		$1,064.74	$1,560.28	$6,333.12
United Facility/Professional Professional Modifier Low / Median / High Price $834.08 / $1,223.31 / $1,923.60	Professional		$834.08	$1,223.31	$1,923.60