Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.10 / $1,312.10 / $1,312.10	Facility		$1,312.10	$1,312.10	$1,312.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.10 / $1,312.10 / $1,411.22	Professional		$1,312.10	$1,312.10	$1,411.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,851.73 / $3,612.33 / $4,682.64	Facility		$1,851.73	$3,612.33	$4,682.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,739.27 / $1,994.17 / $3,418.57	Professional		$1,739.27	$1,994.17	$3,418.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $3,338.45	Facility		$1,960.76	$1,960.76	$3,338.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,960.76 / $13,237.74	Professional		$1,431.35	$1,960.76	$13,237.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.07 / $1,619.56 / $2,234.85	Professional		$1,307.07	$1,619.56	$2,234.85