Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.83 / $1,041.83 / $2,300.00	Facility		$1,041.83	$1,041.83	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.29 / $1,037.18 / $1,135.48	Professional		$933.29	$1,037.18	$1,135.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,090.69 / $1,241.83 / $1,353.00	Facility		$1,090.69	$1,241.83	$1,353.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.66 / $1,202.66 / $1,202.66	Professional		$1,202.66	$1,202.66	$1,202.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.24 / $1,168.24 / $1,168.24	Facility		$1,168.24	$1,168.24	$1,168.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.41 / $1,503.33 / $5,780.43	Professional		$990.41	$1,503.33	$5,780.43
United Facility/Professional Professional Modifier Low / Median / High Price $801.78 / $1,223.63 / $1,683.54	Professional		$801.78	$1,223.63	$1,683.54