Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.79 / $1,096.79 / $1,096.79	Facility		$1,096.79	$1,096.79	$1,096.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.43 / $1,049.69 / $1,096.79	Professional		$1,022.43	$1,049.69	$1,096.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,421.50 / $2,866.05 / $3,715.25	Facility		$1,421.50	$2,866.05	$3,715.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,379.95 / $1,530.84 / $2,624.30	Professional		$1,379.95	$1,530.84	$2,624.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $2,562.79	Facility		$1,540.39	$1,540.39	$2,562.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $10,431.96	Professional		$1,124.48	$1,540.39	$10,431.96
United Facility/Professional Professional Modifier Low / Median / High Price $812.50 / $1,076.22 / $1,773.16	Professional		$812.50	$1,076.22	$1,773.16