Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.20 / $1,669.20 / $1,669.20	Facility		$1,669.20	$1,669.20	$1,669.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.49 / $1,455.83 / $1,669.20	Professional		$1,267.49	$1,455.83	$1,669.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.38 / $203.54 / $381.65	Facility		$165.38	$203.54	$381.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $178.10 / $228.99	Professional		$165.38	$178.10	$228.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $2,487.09	Facility		$144.19	$144.19	$2,487.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $190.23 / $10,424.17	Professional		$144.19	$190.23	$10,424.17
United Facility/Professional Professional Modifier Low / Median / High Price $715.75 / $1,118.54 / $1,911.13	Professional		$715.75	$1,118.54	$1,911.13