Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.86 / $1,237.86 / $1,237.86	Facility		$1,237.86	$1,237.86	$1,237.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.68 / $1,184.71 / $1,237.86	Professional		$1,143.68	$1,184.71	$1,237.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,616.80 / $3,234.69 / $4,193.12	Facility		$1,616.80	$3,234.69	$4,193.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,557.45 / $1,741.17 / $2,984.86	Professional		$1,557.45	$1,741.17	$2,984.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $2,914.90	Facility		$1,618.14	$1,618.14	$2,914.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,618.14 / $11,875.32	Professional		$1,181.24	$1,618.14	$11,875.32
United Facility/Professional Professional Modifier Low / Median / High Price $922.24 / $1,195.36 / $1,992.29	Professional		$922.24	$1,195.36	$1,992.29