Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.19 / $1,002.19 / $1,400.00	Facility		$1,002.19	$1,002.19	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.88 / $1,002.19 / $1,167.21	Professional		$872.88	$1,002.19	$1,167.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,138.10 / $1,260.04 / $1,372.83	Facility		$1,138.10	$1,260.04	$1,372.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,220.29 / $1,220.29 / $1,220.29	Professional		$1,220.29	$1,220.29	$1,220.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.48 / $1,224.48 / $1,224.48	Facility		$1,224.48	$1,224.48	$1,224.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.71 / $1,423.67 / $5,583.95	Professional		$1,051.71	$1,423.67	$5,583.95
United Facility/Professional Professional Modifier Low / Median / High Price $813.53 / $1,241.40 / $1,697.78	Professional		$813.53	$1,241.40	$1,697.78