Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.52 / $1,168.52 / $3,550.00	Facility		$1,168.52	$1,168.52	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.67 / $1,168.52 / $1,394.18	Professional		$1,001.67	$1,168.52	$1,394.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,315.31 / $1,474.87 / $1,606.91	Facility		$1,315.31	$1,474.87	$1,606.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,428.36 / $1,428.36 / $1,428.36	Professional		$1,428.36	$1,428.36	$1,428.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,417.31 / $1,417.31 / $1,417.31	Facility		$1,417.31	$1,417.31	$1,417.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.57 / $1,763.74 / $7,141.07	Professional		$1,198.57	$1,763.74	$7,141.07
United Facility/Professional Professional Modifier Low / Median / High Price $991.60 / $1,477.25 / $2,156.94	Professional		$991.60	$1,477.25	$2,156.94