Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.75 / $1,193.75 / $1,193.75	Facility		$1,193.75	$1,193.75	$1,193.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.82 / $1,142.49 / $1,402.71	Professional		$1,112.82	$1,142.49	$1,402.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,501.94 / $3,087.76 / $4,043.69	Facility		$1,501.94	$3,087.76	$4,043.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,501.94 / $1,617.48 / $2,744.68	Professional		$1,501.94	$1,617.48	$2,744.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,970.97	Facility		$1,499.97	$1,499.97	$2,970.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $12,452.23	Professional		$1,094.98	$1,499.97	$12,452.23
United Facility/Professional Professional Modifier Low / Median / High Price $956.39 / $1,230.85 / $1,921.29	Professional		$956.39	$1,230.85	$1,921.29