Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.39 / $1,305.39 / $1,305.39	Facility		$1,305.39	$1,305.39	$1,305.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.53 / $1,259.48 / $1,571.78	Professional		$1,140.53	$1,259.48	$1,571.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,477.87 / $1,720.75 / $1,874.79	Facility		$1,477.87	$1,720.75	$1,874.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,666.48 / $1,666.48 / $1,666.48	Professional		$1,666.48	$1,666.48	$1,666.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,583.95 / $1,583.95 / $1,583.95	Facility		$1,583.95	$1,583.95	$1,583.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $156.96 / $156.96 / $156.96	Facility	AS	$156.96	$156.96	$156.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.42 / $1,947.88 / $6,593.42	Professional		$1,180.42	$1,947.88	$6,593.42
United Facility/Professional Professional Modifier Low / Median / High Price $685.64 / $1,218.46 / $2,200.94	Professional		$685.64	$1,218.46	$2,200.94