Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.88 / $1,143.88 / $1,143.88	Facility		$1,143.88	$1,143.88	$1,143.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.88 / $1,143.88 / $1,230.30	Professional		$1,143.88	$1,143.88	$1,230.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,516.30 / $3,149.24 / $4,198.99	Facility		$1,516.30	$3,149.24	$4,198.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,516.30 / $1,632.94 / $2,799.32	Professional		$1,516.30	$1,632.94	$2,799.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $3,067.57	Facility		$1,823.10	$1,823.10	$3,067.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,823.10 / $12,857.11	Professional		$1,330.86	$1,823.10	$12,857.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.79 / $1,636.62 / $1,948.36	Professional		$1,163.79	$1,636.62	$1,948.36