Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.54 / $1,321.54 / $1,321.54	Facility		$1,321.54	$1,321.54	$1,321.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.90 / $1,321.54 / $1,421.39	Professional		$1,309.90	$1,321.54	$1,421.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,804.52 / $3,638.36 / $4,716.39	Facility		$1,804.52	$3,638.36	$4,716.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,751.80 / $1,943.33 / $3,331.43	Professional		$1,751.80	$1,943.33	$3,331.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $3,253.34	Facility		$1,786.24	$1,786.24	$3,253.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,786.24 / $13,243.00	Professional		$1,303.96	$1,786.24	$13,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.55 / $1,719.06 / $2,240.91	Professional		$1,344.55	$1,719.06	$2,240.91