Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.92 / $1,252.92 / $1,400.00	Facility		$1,252.92	$1,252.92	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.94 / $1,250.11 / $1,380.79	Professional		$1,124.94	$1,250.11	$1,380.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,321.40 / $1,496.77 / $1,630.76	Facility		$1,321.40	$1,496.77	$1,630.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,449.56 / $1,449.56 / $1,449.56	Professional		$1,449.56	$1,449.56	$1,449.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.68 / $1,423.68 / $1,423.68	Facility		$1,423.68	$1,423.68	$1,423.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.16 / $1,811.95 / $6,937.23	Professional		$1,200.16	$1,811.95	$6,937.23
United Facility/Professional Professional Modifier Low / Median / High Price $966.38 / $1,577.16 / $2,255.36	Professional		$966.38	$1,577.16	$2,255.36