Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.77 / $1,184.28 / $1,184.28	Facility		$815.77	$1,184.28	$1,184.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,184.28 / $1,231.19	Professional		$1,172.56	$1,184.28	$1,231.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,758.84	Facility		$1,172.56	$1,172.56	$1,758.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $2,718.63	Professional		$1,172.56	$1,172.56	$2,718.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.19 / $1,192.50 / $1,192.50	Facility		$1,106.19	$1,192.50	$1,192.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.38 / $1,172.56 / $1,251.69	Professional		$1,137.38	$1,172.56	$1,251.69