Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.65 / $1,123.65 / $1,123.65	Facility		$1,123.65	$1,123.65	$1,123.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.23 / $1,123.65 / $1,221.41	Professional		$1,112.23	$1,123.65	$1,221.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,833.21 / $3,093.54 / $4,010.14	Facility		$1,833.21	$3,093.54	$4,010.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,489.48 / $2,062.36 / $3,661.43	Professional		$1,489.48	$2,062.36	$3,661.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $3,575.62	Facility		$1,665.63	$1,665.63	$3,575.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,665.63 / $12,496.52	Professional		$1,215.91	$1,665.63	$12,496.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.20 / $1,594.79 / $1,905.34	Professional		$1,143.20	$1,594.79	$1,905.34