Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.36 / $1,083.36 / $3,550.00	Facility		$1,083.36	$1,083.36	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.84 / $1,083.36 / $1,239.07	Professional		$998.84	$1,083.36	$1,239.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,151.89 / $1,268.26 / $1,381.78	Facility		$1,151.89	$1,268.26	$1,381.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,228.25 / $1,228.25 / $1,228.25	Professional		$1,228.25	$1,228.25	$1,228.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,250.82 / $1,250.82 / $1,250.82	Facility		$1,250.82	$1,250.82	$1,250.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.56 / $1,535.31 / $5,886.91	Professional		$1,079.56	$1,535.31	$5,886.91
United Facility/Professional Professional Modifier Low / Median / High Price $861.61 / $1,246.45 / $1,801.52	Professional		$861.61	$1,246.45	$1,801.52