Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.08 / $1,400.00 / $1,972.96	Facility		$1,055.08	$1,400.00	$1,972.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.08 / $1,182.56 / $1,915.87	Professional		$1,055.08	$1,182.56	$1,915.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,317.42 / $1,527.91 / $1,664.69	Facility		$1,317.42	$1,527.91	$1,664.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.14 / $1,479.72 / $1,479.72	Professional		$759.14	$1,479.72	$1,479.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.80 / $1,409.80 / $1,409.80	Facility		$1,409.80	$1,409.80	$1,409.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.19 / $1,719.40 / $3,377.84	Professional		$1,194.19	$1,719.40	$3,377.84
United Facility/Professional Professional Modifier Low / Median / High Price $850.87 / $1,209.20 / $1,911.31	Professional		$850.87	$1,209.20	$1,911.31