Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.33 / $1,098.33 / $1,400.00	Facility		$1,098.33	$1,098.33	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.52 / $1,098.33 / $1,274.22	Professional		$944.52	$1,098.33	$1,274.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,234.53 / $1,381.85 / $1,505.55	Facility		$1,234.53	$1,381.85	$1,505.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,338.26 / $1,338.26 / $1,338.26	Professional		$1,338.26	$1,338.26	$1,338.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,332.49 / $1,332.49 / $1,332.49	Facility		$1,332.49	$1,332.49	$1,332.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,128.52 / $1,633.31 / $9,976.18	Professional		$1,128.52	$1,633.31	$9,976.18
United Facility/Professional Professional Modifier Low / Median / High Price $912.03 / $1,524.18 / $1,988.46	Professional		$912.03	$1,524.18	$1,988.46