Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.65 / $1,657.34 / $1,657.34	Facility		$1,148.65	$1,657.34	$1,657.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,657.34 / $1,722.98	Professional		$1,640.93	$1,657.34	$1,722.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,461.40	Facility		$1,640.93	$1,640.93	$2,461.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $3,804.58	Professional		$1,640.93	$1,640.93	$3,804.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.05 / $1,571.96 / $1,640.93	Facility		$1,548.05	$1,571.96	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,510.08 / $1,640.93 / $1,750.18	Professional		$1,510.08	$1,640.93	$1,750.18