Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.78 / $1,055.78 / $1,055.78	Facility		$1,055.78	$1,055.78	$1,055.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.78 / $1,055.78 / $1,266.57	Professional		$1,055.78	$1,055.78	$1,266.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,399.50 / $2,747.76 / $3,767.89	Facility		$1,399.50	$2,747.76	$3,767.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,399.50 / $1,507.16 / $2,442.46	Professional		$1,399.50	$1,507.16	$2,442.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $2,713.63	Facility		$1,271.83	$1,271.83	$2,713.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $1,271.83 / $11,373.66	Professional		$928.44	$1,271.83	$11,373.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.05 / $1,341.83 / $1,790.25	Professional		$1,007.05	$1,341.83	$1,790.25