Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.35 / $1,388.35 / $1,388.35	Facility		$1,388.35	$1,388.35	$1,388.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.35 / $1,388.35 / $1,493.24	Professional		$1,388.35	$1,388.35	$1,493.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,840.36 / $3,822.28 / $5,092.22	Facility		$1,840.36	$3,822.28	$5,092.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,840.36 / $1,981.92 / $3,397.58	Professional		$1,840.36	$1,981.92	$3,397.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $3,634.49	Facility		$1,769.18	$1,769.18	$3,634.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.18 / $15,233.27	Professional		$1,291.50	$1,769.18	$15,233.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.51 / $1,891.80 / $2,354.19	Professional		$1,412.51	$1,891.80	$2,354.19