Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.05 / $1,400.00 / $1,763.98	Facility		$1,032.05	$1,400.00	$1,763.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.45 / $1,143.73 / $1,460.97	Professional		$998.45	$1,143.73	$1,460.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.70 / $1,366.07 / $1,488.36	Facility		$1,174.70	$1,366.07	$1,488.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $678.88 / $1,322.99 / $1,322.99	Professional		$678.88	$1,322.99	$1,322.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,255.83 / $1,255.83 / $1,255.83	Facility		$1,255.83	$1,255.83	$1,255.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.42 / $1,322.98 / $2,587.26	Professional		$1,061.42	$1,322.98	$2,587.26
United Facility/Professional Professional Modifier Low / Median / High Price $723.52 / $1,038.79 / $1,740.82	Professional		$723.52	$1,038.79	$1,740.82