Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.48 / $1,171.48 / $1,171.48	Facility		$1,171.48	$1,171.48	$1,171.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.15 / $1,171.48 / $1,259.98	Professional		$1,161.15	$1,171.48	$1,259.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,599.63 / $3,225.19 / $4,180.80	Facility		$1,599.63	$3,225.19	$4,180.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,552.87 / $1,722.68 / $2,953.16	Professional		$1,552.87	$1,722.68	$2,953.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $2,883.95	Facility		$1,366.32	$1,366.32	$2,883.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $1,366.32 / $11,751.40	Professional		$997.41	$1,366.32	$11,751.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.85 / $1,643.25 / $1,986.44	Professional		$1,191.85	$1,643.25	$1,986.44