Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.23 / $1,407.05 / $1,407.05	Facility		$1,199.23	$1,407.05	$1,407.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,407.05 / $1,462.78	Professional		$1,393.12	$1,407.05	$1,462.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,089.67	Facility		$1,393.12	$1,393.12	$2,089.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $3,230.02	Professional		$1,393.12	$1,393.12	$3,230.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.26 / $1,989.00 / $1,989.00	Facility		$1,314.26	$1,989.00	$1,989.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,341.01	Professional		$1,393.12	$1,393.12	$2,341.01