Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.20 / $1,012.20 / $1,400.00	Facility		$1,012.20	$1,012.20	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.33 / $1,012.20 / $1,048.14	Professional		$937.33	$1,012.20	$1,048.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,549.87 / $1,549.87 / $1,986.42	Facility		$1,549.87	$1,549.87	$1,986.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,765.70 / $1,765.70 / $1,765.70	Professional		$1,765.70	$1,765.70	$1,765.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $1,664.27 / $1,664.27	Facility		$1,664.27	$1,664.27	$1,664.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.71 / $1,910.36 / $3,175.48	Professional		$1,250.71	$1,910.36	$3,175.48
United Facility/Professional Professional Modifier Low / Median / High Price $911.68 / $1,431.13 / $2,081.65	Professional		$911.68	$1,431.13	$2,081.65