Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.24 / $1,189.24 / $1,189.24	Facility		$1,189.24	$1,189.24	$1,189.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.24 / $1,189.24 / $1,383.29	Professional		$1,189.24	$1,189.24	$1,383.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,576.42 / $3,274.10 / $4,244.21	Facility		$1,576.42	$3,274.10	$4,244.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,576.42 / $1,697.68 / $2,910.31	Professional		$1,576.42	$1,697.68	$2,910.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $3,170.99	Facility		$1,769.38	$1,769.38	$3,170.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,769.38 / $13,290.57	Professional		$1,291.65	$1,769.38	$13,290.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,209.93 / $1,690.17 / $2,025.61	Professional		$1,209.93	$1,690.17	$2,025.61