Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.60 / $1,151.60 / $1,400.00	Facility		$1,151.60	$1,151.60	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.38 / $1,151.60 / $1,368.54	Professional		$1,052.38	$1,151.60	$1,368.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,314.43 / $1,524.32 / $1,660.78	Facility		$1,314.43	$1,524.32	$1,660.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,476.25 / $1,476.25 / $1,476.25	Professional		$1,476.25	$1,476.25	$1,476.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.11 / $1,406.11 / $1,406.11	Facility		$1,406.11	$1,406.11	$1,406.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.68 / $1,845.31 / $5,956.70	Professional		$1,191.68	$1,845.31	$5,956.70
United Facility/Professional Professional Modifier Low / Median / High Price $986.81 / $1,375.63 / $1,968.34	Professional		$986.81	$1,375.63	$1,968.34