Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,275.00 / $1,275.00	Professional		$1,200.00	$1,275.00	$1,275.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,103.59 / $1,139.54 / $1,139.54	Facility		$1,103.59	$1,139.54	$1,139.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,139.54 / $1,139.54 / $1,139.54	Professional		$1,139.54	$1,139.54	$1,139.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,500.00	Professional		$1,250.00	$1,250.00	$1,500.00