Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.21 / $1,520.21 / $1,520.21	Facility		$1,520.21	$1,520.21	$1,520.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.14 / $1,454.93 / $1,851.83	Professional		$1,417.14	$1,454.93	$1,851.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,965.93 / $3,972.48 / $5,149.52	Facility		$1,965.93	$3,972.48	$5,149.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,912.68 / $2,117.15 / $3,629.40	Professional		$1,912.68	$2,117.15	$3,629.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $3,719.81	Facility		$1,815.81	$1,815.81	$3,719.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $15,590.87	Professional		$1,325.54	$1,815.81	$15,590.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.09 / $1,547.95 / $2,359.38	Professional		$1,215.09	$1,547.95	$2,359.38