Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,377.00 / $1,377.00	Professional		$1,296.00	$1,377.00	$1,377.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,191.98 / $1,230.81 / $2,153.92	Facility		$1,191.98	$1,230.81	$2,153.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.81 / $1,230.81 / $1,230.81	Professional		$1,230.81	$1,230.81	$1,230.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,955.21	Professional		$1,350.00	$1,350.00	$1,955.21