Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.70 / $1,108.70 / $1,700.00	Facility		$1,108.70	$1,108.70	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.68 / $1,108.70 / $1,286.34	Professional		$953.68	$1,108.70	$1,286.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,246.92 / $1,395.62 / $1,520.56	Facility		$1,246.92	$1,395.62	$1,520.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,351.61 / $1,351.61 / $1,351.61	Professional		$1,351.61	$1,351.61	$1,351.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,345.81 / $1,345.81 / $1,345.81	Facility		$1,345.81	$1,345.81	$1,345.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.11 / $1,602.88 / $9,930.27	Professional		$1,140.11	$1,602.88	$9,930.27
United Facility/Professional Professional Modifier Low / Median / High Price $925.53 / $1,486.13 / $1,933.61	Professional		$925.53	$1,486.13	$1,933.61