Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.51 / $1,185.51 / $3,550.00	Facility		$1,185.51	$1,185.51	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.45 / $1,185.51 / $1,372.90	Professional		$1,104.45	$1,185.51	$1,372.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,263.85 / $1,383.76 / $1,507.63	Facility		$1,263.85	$1,383.76	$1,507.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,340.11 / $1,340.11 / $1,340.11	Professional		$1,340.11	$1,340.11	$1,340.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.06 / $1,379.06 / $1,379.06	Facility		$1,379.06	$1,379.06	$1,379.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.21 / $1,675.14 / $5,753.10	Professional		$1,197.21	$1,675.14	$5,753.10
United Facility/Professional Professional Modifier Low / Median / High Price $915.59 / $1,324.44 / $2,605.77	Professional		$915.59	$1,324.44	$2,605.77