Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.12 / $1,007.12 / $3,550.00	Facility		$1,007.12	$1,007.12	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.32 / $1,007.12 / $1,167.24	Professional		$921.32	$1,007.12	$1,167.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,075.85 / $1,189.13 / $1,295.58	Facility		$1,075.85	$1,189.13	$1,295.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,151.63 / $1,151.63 / $1,151.63	Professional		$1,151.63	$1,151.63	$1,151.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,161.34 / $1,161.34 / $1,161.34	Facility		$1,161.34	$1,161.34	$1,161.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.71 / $1,439.53 / $5,657.38	Professional		$1,000.71	$1,439.53	$5,657.38
United Facility/Professional Professional Modifier Low / Median / High Price $812.75 / $1,151.58 / $2,037.20	Professional		$812.75	$1,151.58	$2,037.20