Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,859.21 / $2,231.05	Facility		$1,219.64	$1,859.21	$2,231.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.53 / $1,204.77 / $1,219.64	Professional		$1,115.53	$1,204.77	$1,219.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,636.11 / $2,007.95 / $2,231.06	Facility		$1,636.11	$2,007.95	$2,231.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,784.84 / $1,784.84 / $2,007.95	Professional		$1,784.84	$1,784.84	$2,007.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.49 / $1,784.84 / $4,461.74	Facility		$1,208.49	$1,784.84	$4,461.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.99 / $2,136.23 / $7,169.12	Professional		$1,708.99	$2,136.23	$7,169.12
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $669.32 / $2,156.69	Professional		$624.70	$669.32	$2,156.69