Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.33 / $1,241.33 / $3,550.00	Facility		$1,241.33	$1,241.33	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.42 / $1,241.33 / $1,431.98	Professional		$1,154.42	$1,241.33	$1,431.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.11 / $1,449.98 / $1,579.78	Facility		$1,323.11	$1,449.98	$1,579.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,404.25 / $1,404.25 / $1,404.25	Professional		$1,404.25	$1,404.25	$1,404.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,441.32 / $1,441.32 / $1,441.32	Facility		$1,441.32	$1,441.32	$1,441.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.17 / $1,755.31 / $6,013.43	Professional		$1,251.17	$1,755.31	$6,013.43
United Facility/Professional Professional Modifier Low / Median / High Price $967.02 / $1,390.09 / $2,063.21	Professional		$967.02	$1,390.09	$2,063.21