Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.57 / $1,509.35 / $1,509.35	Facility		$1,079.57	$1,509.35	$1,509.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,509.35 / $1,569.13	Professional		$1,494.41	$1,509.35	$1,569.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,241.62	Facility		$1,494.41	$1,494.41	$2,241.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $3,464.85	Professional		$1,494.41	$1,494.41	$3,464.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $2,406.17 / $2,406.17	Facility		$1,409.82	$2,406.17	$2,406.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,830.52	Professional		$1,494.41	$1,494.41	$2,830.52