Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.18 / $1,223.18 / $1,223.18	Facility		$1,223.18	$1,223.18	$1,223.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.15 / $1,077.68 / $1,223.18	Professional		$906.15	$1,077.68	$1,223.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $223.96 / $1,572.22	Facility		$116.46	$223.96	$1,572.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $125.42 / $1,693.16	Professional		$116.46	$125.42	$1,693.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,459.20 / $2,060.42	Facility		$1,122.47	$1,459.20	$2,060.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $1,122.47 / $1,459.20	Professional		$140.82	$1,122.47	$1,459.20
United Facility/Professional Professional Modifier Low / Median / High Price $756.95 / $979.54 / $1,902.19	Professional		$756.95	$979.54	$1,902.19