Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.51 / $1,441.72 / $1,441.72	Facility		$959.51	$1,441.72	$1,441.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,441.72 / $1,498.82	Professional		$1,427.45	$1,441.72	$1,498.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,141.17	Facility		$1,427.45	$1,427.45	$2,141.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $3,309.62	Professional		$1,427.45	$1,427.45	$3,309.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,479.00 / $1,479.00	Facility		$1,346.65	$1,479.00	$1,479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,751.02	Professional		$1,427.45	$1,427.45	$1,751.02