Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.29 / $1,214.29 / $3,550.00	Facility		$1,214.29	$1,214.29	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.19 / $1,214.29 / $1,403.13	Professional		$1,130.19	$1,214.29	$1,403.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,294.04 / $1,417.38 / $1,544.25	Facility		$1,294.04	$1,417.38	$1,544.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,372.67 / $1,372.67 / $1,372.67	Professional		$1,372.67	$1,372.67	$1,372.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,411.49 / $1,411.49 / $1,411.49	Facility		$1,411.49	$1,411.49	$1,411.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.72 / $1,715.84 / $5,885.61	Professional		$1,224.72	$1,715.84	$5,885.61
United Facility/Professional Professional Modifier Low / Median / High Price $941.61 / $1,362.58 / $1,993.47	Professional		$941.61	$1,362.58	$1,993.47