Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.22 / $1,378.22 / $1,378.22	Facility		$1,378.22	$1,378.22	$1,378.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.22 / $1,378.22 / $1,482.34	Professional		$1,378.22	$1,378.22	$1,482.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,826.92 / $3,697.19 / $4,918.64	Facility		$1,826.92	$3,697.19	$4,918.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,826.92 / $1,967.46 / $3,286.39	Professional		$1,826.92	$1,967.46	$3,286.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $3,514.38	Facility		$1,711.28	$1,711.28	$3,514.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,711.28 / $14,729.82	Professional		$1,249.23	$1,711.28	$14,729.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,402.20 / $1,805.47 / $2,337.00	Professional		$1,402.20	$1,805.47	$2,337.00