Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.71 / $1,059.71 / $3,550.00	Facility		$1,059.71	$1,059.71	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.62 / $1,059.71 / $1,211.32	Professional		$977.62	$1,059.71	$1,211.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.33 / $1,239.43 / $1,350.38	Facility		$1,126.33	$1,239.43	$1,350.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,200.33 / $1,200.33 / $1,200.33	Professional		$1,200.33	$1,200.33	$1,200.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.71 / $1,224.71 / $1,224.71	Facility		$1,224.71	$1,224.71	$1,224.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.42 / $1,500.43 / $5,734.50	Professional		$1,056.42	$1,500.43	$5,734.50
United Facility/Professional Professional Modifier Low / Median / High Price $842.40 / $1,205.78 / $1,888.61	Professional		$842.40	$1,205.78	$1,888.61