Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.25 / $1,400.00 / $1,909.10	Facility		$1,144.25	$1,400.00	$1,909.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.25 / $1,269.93 / $2,144.30	Professional		$1,144.25	$1,269.93	$2,144.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,317.32 / $1,478.46 / $1,610.81	Facility		$1,317.32	$1,478.46	$1,610.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $734.64 / $1,431.83 / $1,431.83	Professional		$734.64	$1,431.83	$1,431.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.20 / $1,407.20 / $1,407.20	Facility		$1,407.20	$1,407.20	$1,407.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.48 / $1,789.79 / $3,705.20	Professional		$1,198.48	$1,789.79	$3,705.20
United Facility/Professional Professional Modifier Low / Median / High Price $978.52 / $1,367.69 / $2,006.27	Professional		$978.52	$1,367.69	$2,006.27