Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.83 / $1,174.83 / $1,174.83	Facility		$1,174.83	$1,174.83	$1,174.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.18 / $1,124.38 / $1,174.83	Professional		$1,095.18	$1,124.38	$1,174.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,522.65 / $3,069.98 / $3,979.61	Facility		$1,522.65	$3,069.98	$3,979.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,478.14 / $1,639.78 / $2,811.05	Professional		$1,478.14	$1,639.78	$2,811.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $2,745.17	Facility		$1,300.55	$1,300.55	$2,745.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $11,215.56	Professional		$949.40	$949.40	$11,215.56
United Facility/Professional Professional Modifier Low / Median / High Price $870.31 / $1,134.50 / $1,890.83	Professional		$870.31	$1,134.50	$1,890.83