Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.94 / $1,400.00 / $1,804.45	Facility		$1,082.94	$1,400.00	$1,804.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.66 / $1,202.43 / $1,935.44	Professional		$1,061.66	$1,202.43	$1,935.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,245.08 / $1,397.41 / $1,522.50	Facility		$1,245.08	$1,397.41	$1,522.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $694.41 / $1,353.34 / $1,353.34	Professional		$694.41	$1,353.34	$1,353.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.88 / $1,330.88 / $1,330.88	Facility		$1,330.88	$1,330.88	$1,330.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.56 / $1,691.67 / $3,420.06	Professional		$1,133.56	$1,691.67	$3,420.06
United Facility/Professional Professional Modifier Low / Median / High Price $943.48 / $1,393.33 / $1,894.95	Professional		$943.48	$1,393.33	$1,894.95