Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.16 / $1,231.16 / $1,231.16	Facility		$1,231.16	$1,231.16	$1,231.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.16 / $1,231.16 / $1,379.18	Professional		$1,231.16	$1,231.16	$1,379.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,757.57 / $3,502.45 / $4,519.35	Facility		$1,757.57	$3,502.45	$4,519.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,631.99 / $1,892.77 / $3,244.74	Professional		$1,631.99	$1,892.77	$3,244.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $3,257.59	Facility		$2,119.51	$2,119.51	$3,257.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $2,119.51 / $13,653.57	Professional		$1,547.24	$2,119.51	$13,653.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,252.58 / $1,509.47 / $2,097.01	Professional		$1,252.58	$1,509.47	$2,097.01