Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.58 / $1,471.91 / $1,514.47	Facility		$1,336.58	$1,471.91	$1,514.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,389.51	Professional		$1,323.35	$1,323.35	$1,389.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,455.69 / $1,985.03	Facility		$1,323.35	$1,455.69	$1,985.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $3,068.25	Professional		$1,323.35	$1,323.35	$3,068.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,248.44 / $1,444.55 / $1,444.55	Facility		$1,248.44	$1,444.55	$1,444.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,376.79	Professional		$1,323.35	$1,323.35	$1,376.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,468.92 / $2,220.30	Professional		$1,323.35	$1,468.92	$2,220.30