Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.06 / $1,008.06 / $1,400.00	Facility		$1,008.06	$1,008.06	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.49 / $1,008.06 / $1,170.38	Professional		$866.49	$1,008.06	$1,170.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,134.82 / $1,270.79 / $1,384.55	Facility		$1,134.82	$1,270.79	$1,384.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.71 / $1,230.71 / $1,230.71	Professional		$1,230.71	$1,230.71	$1,230.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,223.75 / $1,223.75 / $1,223.75	Facility		$1,223.75	$1,223.75	$1,223.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.78 / $1,485.68 / $6,048.51	Professional		$1,036.78	$1,485.68	$6,048.51
United Facility/Professional Professional Modifier Low / Median / High Price $839.04 / $1,374.38 / $2,035.78	Professional		$839.04	$1,374.38	$2,035.78