Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.31 / $1,071.31 / $1,071.31	Facility		$1,071.31	$1,071.31	$1,071.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.31 / $1,071.31 / $1,214.13	Professional		$1,071.31	$1,071.31	$1,214.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,420.11 / $2,880.81 / $3,823.37	Facility		$1,420.11	$2,880.81	$3,823.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,420.11 / $1,529.35 / $2,487.71	Professional		$1,420.11	$1,529.35	$2,487.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $2,671.96	Facility		$1,295.39	$1,295.39	$2,671.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,295.39 / $11,198.98	Professional		$945.63	$1,295.39	$11,198.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.96 / $1,444.75 / $1,816.60	Professional		$1,089.96	$1,444.75	$1,816.60