Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.42 / $1,083.42 / $1,083.42	Facility		$1,083.42	$1,083.42	$1,083.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.13 / $1,036.90 / $1,251.89	Professional		$956.13	$1,036.90	$1,251.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,363.13 / $2,621.40 / $3,669.96	Facility		$1,363.13	$2,621.40	$3,669.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,352.26 / $1,467.98 / $2,318.16	Professional		$1,352.26	$1,467.98	$2,318.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $2,454.07	Facility		$1,207.09	$1,207.09	$2,454.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $10,285.74	Professional		$881.18	$1,207.09	$10,285.74
United Facility/Professional Professional Modifier Low / Median / High Price $807.77 / $1,046.23 / $1,743.71	Professional		$807.77	$1,046.23	$1,743.71