Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.69 / $1,053.69 / $1,700.00	Facility		$1,053.69	$1,053.69	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.11 / $1,053.69 / $1,849.64	Professional		$841.11	$1,053.69	$1,849.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,079.11 / $1,171.30 / $1,276.14	Facility		$1,079.11	$1,171.30	$1,276.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $995.05 / $1,073.69 / $1,268.90	Professional		$995.05	$1,073.69	$1,268.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.76 / $1,174.76 / $1,174.76	Facility		$1,174.76	$1,174.76	$1,174.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.25 / $1,228.88 / $4,884.68	Professional		$911.25	$1,228.88	$4,884.68
United Facility/Professional Professional Modifier Low / Median / High Price $750.05 / $967.36 / $1,412.44	Professional		$750.05	$967.36	$1,412.44