Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.58 / $1,087.58 / $1,700.00	Facility		$1,087.58	$1,087.58	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.04 / $1,087.58 / $1,901.79	Professional		$920.04	$1,087.58	$1,901.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,113.95 / $1,211.58 / $1,320.03	Facility		$1,113.95	$1,211.58	$1,320.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,025.99 / $1,110.61 / $1,312.55	Professional		$1,025.99	$1,110.61	$1,312.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.07 / $1,206.07 / $1,206.07	Facility		$1,206.07	$1,206.07	$1,206.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.83 / $1,286.14 / $5,697.79	Professional		$969.83	$1,286.14	$5,697.79
United Facility/Professional Professional Modifier Low / Median / High Price $805.53 / $1,038.31 / $1,564.48	Professional		$805.53	$1,038.31	$1,564.48