Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.45 / $1,215.45 / $1,215.45	Facility		$1,215.45	$1,215.45	$1,215.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.08 / $1,215.45 / $1,215.45	Professional		$906.08	$1,215.45	$1,215.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,123.00 / $2,123.00 / $2,186.92	Facility		$2,123.00	$2,123.00	$2,186.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,123.00 / $2,123.00 / $2,123.00	Professional		$2,123.00	$2,123.00	$2,123.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,214.17 / $1,214.17 / $1,749.42	Facility		$1,214.17	$1,214.17	$1,749.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.34 / $1,214.17 / $1,708.42	Professional		$886.34	$1,214.17	$1,708.42
United Facility/Professional Professional Modifier Low / Median / High Price $646.26 / $985.03 / $1,317.64	Professional		$646.26	$985.03	$1,317.64