Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.90 / $1,358.90 / $1,358.90	Facility		$1,358.90	$1,358.90	$1,358.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,346.92 / $1,358.90 / $1,461.56	Professional		$1,346.92	$1,358.90	$1,461.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,855.57 / $3,741.17 / $4,849.67	Facility		$1,855.57	$3,741.17	$4,849.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,801.31 / $1,998.31 / $3,425.68	Professional		$1,801.31	$1,998.31	$3,425.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $3,345.38	Facility		$1,584.92	$1,584.92	$3,345.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,584.92 / $13,617.37	Professional		$1,156.99	$1,584.92	$13,617.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,382.54 / $1,906.16 / $2,304.23	Professional		$1,382.54	$1,906.16	$2,304.23