Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.56 / $1,215.56 / $1,215.56	Facility		$1,215.56	$1,215.56	$1,215.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.15 / $1,163.35 / $1,326.96	Professional		$1,133.15	$1,163.35	$1,326.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,850.52 / $3,176.40 / $4,117.56	Facility		$1,850.52	$3,176.40	$4,117.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,529.38 / $1,992.87 / $3,416.35	Professional		$1,529.38	$1,992.87	$3,416.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $3,336.28	Facility		$1,549.06	$1,549.06	$3,336.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,549.06 / $12,759.41	Professional		$1,130.81	$1,549.06	$12,759.41
United Facility/Professional Professional Modifier Low / Median / High Price $983.84 / $1,257.70 / $1,841.54	Professional		$983.84	$1,257.70	$1,841.54