Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.29 / $1,254.29 / $1,254.29	Facility		$1,254.29	$1,254.29	$1,254.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.29 / $1,254.29 / $1,349.06	Professional		$1,254.29	$1,254.29	$1,349.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,763.93 / $3,453.19 / $4,476.35	Facility		$1,763.93	$3,453.19	$4,476.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,662.65 / $1,899.62 / $3,256.49	Professional		$1,662.65	$1,899.62	$3,256.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $3,180.17	Facility		$1,482.94	$1,482.94	$3,180.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,482.94 / $11,750.77	Professional		$1,260.50	$1,482.94	$11,750.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.11 / $1,653.92 / $2,126.87	Professional		$1,276.11	$1,653.92	$2,126.87