Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.83 / $1,094.83 / $1,400.00	Facility		$1,094.83	$1,094.83	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.64 / $1,094.83 / $1,334.88	Professional		$942.64	$1,094.83	$1,334.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,273.83 / $1,422.44 / $1,549.77	Facility		$1,273.83	$1,422.44	$1,549.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,377.58 / $1,377.58 / $1,377.58	Professional		$1,377.58	$1,377.58	$1,377.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,369.87 / $1,369.87 / $1,369.87	Facility		$1,369.87	$1,369.87	$1,369.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.79 / $1,607.17 / $9,922.94	Professional		$1,169.79	$1,607.17	$9,922.94
United Facility/Professional Professional Modifier Low / Median / High Price $889.54 / $1,363.96 / $1,924.48	Professional		$889.54	$1,363.96	$1,924.48