Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.02 / $1,091.02 / $1,400.00	Facility		$1,091.02	$1,091.02	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.45 / $1,128.06 / $2,500.36	Professional		$935.45	$1,128.06	$2,500.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,226.67 / $1,375.57 / $1,498.70	Facility		$1,226.67	$1,375.57	$1,498.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,332.18 / $1,332.18 / $1,332.18	Professional		$1,332.18	$1,332.18	$1,332.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.26 / $1,322.26 / $1,322.26	Facility		$1,322.26	$1,322.26	$1,322.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.92 / $1,636.14 / $6,659.98	Professional		$1,117.92	$1,636.14	$6,659.98
United Facility/Professional Professional Modifier Low / Median / High Price $923.43 / $1,515.13 / $1,989.40	Professional		$923.43	$1,515.13	$1,989.40