Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.13 / $1,138.13 / $2,600.00	Facility		$1,138.13	$1,138.13	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.02 / $1,138.13 / $1,992.81	Professional		$991.02	$1,138.13	$1,992.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,178.51 / $1,282.50 / $1,397.30	Facility		$1,178.51	$1,282.50	$1,397.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,085.03 / $1,175.63 / $1,389.38	Professional		$1,085.03	$1,175.63	$1,389.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.73 / $1,401.73 / $1,401.73	Professional		$1,401.73	$1,401.73	$1,401.73
United Facility/Professional Professional Modifier Low / Median / High Price $859.26 / $1,179.81 / $1,662.38	Professional		$859.26	$1,179.81	$1,662.38