Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,381.38 / $1,381.38 / $2,072.07	Facility		$1,381.38	$1,381.38	$2,072.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,612.09	Professional		$1,748.25	$1,748.25	$2,612.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,662.55 / $1,713.97 / $2,482.34	Professional		$1,662.55	$1,713.97	$2,482.34