Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.78 / $1,200.78 / $1,400.00	Facility		$1,200.78	$1,200.78	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.16 / $1,200.78 / $1,446.33	Professional		$1,093.16	$1,200.78	$1,446.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,362.27 / $1,584.49 / $1,726.33	Facility		$1,362.27	$1,584.49	$1,726.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,534.51 / $1,534.51 / $1,534.51	Professional		$1,534.51	$1,534.51	$1,534.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.51 / $1,459.51 / $1,459.51	Facility		$1,459.51	$1,459.51	$1,459.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.44 / $1,918.14 / $6,871.13	Professional		$1,230.44	$1,918.14	$6,871.13
United Facility/Professional Professional Modifier Low / Median / High Price $986.30 / $1,467.81 / $2,046.02	Professional		$986.30	$1,467.81	$2,046.02