Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.33 / $1,608.75 / $1,930.50	Facility		$1,055.33	$1,608.75	$1,930.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.25 / $1,055.33 / $1,093.95	Professional		$965.25	$1,055.33	$1,093.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,415.70 / $1,930.50 / $2,252.25	Facility		$1,415.70	$1,930.50	$2,252.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,544.40 / $1,544.40 / $1,737.45	Professional		$1,544.40	$1,544.40	$1,737.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.69 / $1,544.40 / $3,860.68	Facility		$1,045.69	$1,544.40	$3,860.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.95 / $1,848.69 / $6,203.34	Professional		$1,478.95	$1,848.69	$6,203.34
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $643.50 / $1,737.45	Professional		$540.54	$643.50	$1,737.45