Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.52 / $1,218.52 / $1,218.52	Facility		$1,218.52	$1,218.52	$1,218.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.52 / $1,218.52 / $1,443.16	Professional		$1,218.52	$1,218.52	$1,443.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,615.22 / $3,354.70 / $4,472.93	Facility		$1,615.22	$3,354.70	$4,472.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,615.22 / $1,739.47 / $2,981.95	Professional		$1,615.22	$1,739.47	$2,981.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $3,331.69	Facility		$1,552.76	$1,552.76	$3,331.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $13,964.12	Professional		$1,133.51	$1,133.51	$13,964.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,239.72 / $1,587.35 / $2,075.48	Professional		$1,239.72	$1,587.35	$2,075.48