Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.61 / $1,150.61 / $2,600.00	Facility		$1,150.61	$1,150.61	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.21 / $1,150.61 / $1,348.01	Professional		$986.21	$1,150.61	$1,348.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,292.99 / $1,450.10 / $1,579.92	Facility		$1,292.99	$1,450.10	$1,579.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,404.37 / $1,404.37 / $1,404.37	Professional		$1,404.37	$1,404.37	$1,404.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.63 / $1,393.63 / $1,393.63	Facility		$1,393.63	$1,393.63	$1,393.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.88 / $1,722.34 / $7,135.55	Professional		$1,177.88	$1,722.34	$7,135.55
United Facility/Professional Professional Modifier Low / Median / High Price $971.12 / $1,384.03 / $2,109.87	Professional		$971.12	$1,384.03	$2,109.87