Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.95 / $1,100.95 / $3,550.00	Facility		$1,100.95	$1,100.95	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.64 / $1,100.95 / $1,232.78	Professional		$1,006.64	$1,100.95	$1,232.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,139.77 / $1,295.02 / $1,410.94	Facility		$1,139.77	$1,295.02	$1,410.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,254.17 / $1,254.17 / $1,254.17	Professional		$1,254.17	$1,254.17	$1,254.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.80 / $1,222.80 / $1,222.80	Facility		$1,222.80	$1,222.80	$1,222.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.36 / $1,526.81 / $5,032.80	Professional		$1,032.36	$1,526.81	$5,032.80
United Facility/Professional Professional Modifier Low / Median / High Price $900.24 / $1,213.73 / $2,095.31	Professional		$900.24	$1,213.73	$2,095.31