Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.89 / $1,221.89 / $1,700.00	Facility		$1,221.89	$1,221.89	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.42 / $1,221.89 / $2,140.36	Professional		$986.42	$1,221.89	$2,140.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,248.18 / $1,355.57 / $1,476.91	Facility		$1,248.18	$1,355.57	$1,476.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,150.39 / $1,242.59 / $1,468.53	Professional		$1,150.39	$1,242.59	$1,468.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,359.30 / $1,359.30 / $1,359.30	Facility		$1,359.30	$1,359.30	$1,359.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.77 / $1,422.22 / $5,639.26	Professional		$1,045.77	$1,422.22	$5,639.26
United Facility/Professional Professional Modifier Low / Median / High Price $877.98 / $1,138.65 / $1,717.89	Professional		$877.98	$1,138.65	$1,717.89