Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.11 / $1,171.88 / $4,044.05	Facility		$1,171.11	$1,171.88	$4,044.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $6.33	Professional		$4.45	$4.45	$6.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $4.90 / $6.68	Facility		$4.45	$4.90	$6.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $10.32	Professional		$4.45	$4.45	$10.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $85.00 / $85.00	Facility		$4.20	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $4.62	Professional		$4.45	$4.45	$4.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.94 / $7.46	Professional		$4.45	$4.94	$7.46