Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.91 / $1,319.91 / $2,600.00	Facility		$1,319.91	$1,319.91	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.70 / $1,319.91 / $2,308.53	Professional		$1,149.70	$1,319.91	$2,308.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,365.32 / $1,486.30 / $1,619.34	Facility		$1,365.32	$1,486.30	$1,619.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,256.72 / $1,362.44 / $1,610.15	Professional		$1,256.72	$1,362.44	$1,610.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.10 / $1,628.10 / $1,628.10	Professional		$1,628.10	$1,628.10	$1,628.10
United Facility/Professional Professional Modifier Low / Median / High Price $996.39 / $1,375.19 / $1,925.26	Professional		$996.39	$1,375.19	$1,925.26