Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.67 / $1,154.67 / $1,600.00	Facility		$1,154.67	$1,154.67	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,154.67 / $2,014.72	Professional		$908.20	$1,154.67	$2,014.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,190.05 / $1,296.40 / $1,412.44	Facility		$1,190.05	$1,296.40	$1,412.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,094.84 / $1,188.35 / $1,404.43	Professional		$1,094.84	$1,188.35	$1,404.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,282.81 / $1,282.81 / $1,282.81	Facility		$1,282.81	$1,282.81	$1,282.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.07 / $1,360.13 / $5,335.26	Professional		$1,031.07	$1,360.13	$5,335.26
United Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $690.00 / $690.00	Facility		$690.00	$690.00	$690.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.98 / $1,123.41 / $1,658.36	Professional		$866.98	$1,123.41	$1,658.36