Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.93 / $1,313.93 / $1,313.93	Facility		$1,313.93	$1,313.93	$1,313.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.60 / $1,313.93 / $1,413.20	Professional		$1,313.60	$1,313.93	$1,413.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,837.49 / $3,773.32 / $4,823.21	Facility		$1,837.49	$3,773.32	$4,823.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,741.71 / $1,978.83 / $3,392.28	Professional		$1,741.71	$1,978.83	$3,392.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $3,461.73	Facility		$2,283.76	$2,283.76	$3,461.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,283.76 / $14,509.16	Professional		$1,667.14	$2,283.76	$14,509.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,336.80 / $1,766.50 / $2,097.21	Professional		$1,336.80	$1,766.50	$2,097.21