Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.72 / $1,132.72 / $1,132.72	Facility		$1,132.72	$1,132.72	$1,132.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.72 / $1,132.72 / $1,235.36	Professional		$1,132.72	$1,132.72	$1,235.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,501.49 / $3,340.40 / $4,157.97	Facility		$1,501.49	$3,340.40	$4,157.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,501.49 / $1,616.99 / $2,771.99	Professional		$1,501.49	$1,616.99	$2,771.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $2,988.26	Facility		$1,964.43	$1,964.43	$2,988.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,964.43 / $12,524.72	Professional		$1,434.03	$1,964.43	$12,524.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.43 / $1,609.84 / $1,920.72	Professional		$1,152.43	$1,609.84	$1,920.72