Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.35 / $1,045.35 / $1,045.35	Facility		$1,045.35	$1,045.35	$1,045.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.74 / $1,000.47 / $1,155.89	Professional		$919.74	$1,000.47	$1,155.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,315.24 / $2,529.30 / $3,541.02	Facility		$1,315.24	$2,529.30	$3,541.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,300.79 / $1,416.41 / $2,229.92	Professional		$1,300.79	$1,416.41	$2,229.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $2,302.61	Facility		$1,395.53	$1,395.53	$2,302.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $9,650.94	Professional		$1,018.74	$1,018.74	$9,650.94
United Facility/Professional Professional Modifier Low / Median / High Price $745.82 / $1,009.48 / $1,682.46	Professional		$745.82	$1,009.48	$1,682.46