Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.49 / $1,222.49 / $1,222.49	Facility		$1,222.49	$1,222.49	$1,222.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.49 / $1,222.49 / $1,475.92	Professional		$1,222.49	$1,222.49	$1,475.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,620.49 / $3,116.33 / $4,362.85	Facility		$1,620.49	$3,116.33	$4,362.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,594.25 / $1,745.14 / $2,733.00	Professional		$1,594.25	$1,745.14	$2,733.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $2,979.08	Facility		$1,654.54	$1,654.54	$2,979.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,654.54 / $12,486.21	Professional		$1,207.81	$1,654.54	$12,486.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.76 / $1,587.20 / $2,072.92	Professional		$1,243.76	$1,587.20	$2,072.92