Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.29 / $1,301.29 / $1,400.00	Facility		$1,301.29	$1,301.29	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.17 / $1,301.29 / $1,561.35	Professional		$1,183.17	$1,301.29	$1,561.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,474.32 / $1,716.43 / $1,870.07	Facility		$1,474.32	$1,716.43	$1,870.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,662.29 / $1,662.29 / $1,662.29	Professional		$1,662.29	$1,662.29	$1,662.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.39 / $1,579.39 / $1,579.39	Facility		$1,579.39	$1,579.39	$1,579.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.02 / $2,077.87 / $12,163.11	Professional		$1,330.02	$2,077.87	$12,163.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.35 / $1,642.50 / $2,216.38	Professional		$1,127.35	$1,642.50	$2,216.38