Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.67 / $1,606.45 / $1,606.45	Facility		$1,157.67	$1,606.45	$1,606.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,606.45 / $1,670.07	Professional		$1,590.54	$1,606.45	$1,670.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,385.81	Facility		$1,590.54	$1,590.54	$2,385.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $3,687.74	Professional		$1,590.54	$1,590.54	$3,687.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.51 / $2,550.00 / $2,550.00	Facility		$1,500.51	$2,550.00	$2,550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,878.56	Professional		$1,590.54	$1,590.54	$2,878.56