Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.96 / $1,135.96 / $2,600.00	Facility		$1,135.96	$1,135.96	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.60 / $1,135.96 / $1,300.30	Professional		$1,040.60	$1,135.96	$1,300.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,209.57 / $1,335.78 / $1,455.35	Facility		$1,209.57	$1,335.78	$1,455.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,293.65 / $1,293.65 / $1,293.65	Professional		$1,293.65	$1,293.65	$1,293.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,307.33 / $1,307.33 / $1,307.33	Facility		$1,307.33	$1,307.33	$1,307.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.63 / $1,617.05 / $6,171.54	Professional		$1,126.63	$1,617.05	$6,171.54
United Facility/Professional Professional Modifier Low / Median / High Price $910.14 / $1,577.76 / $1,930.06	Professional		$910.14	$1,577.76	$1,930.06