Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.53 / $1,466.78 / $1,466.78	Facility		$1,207.53	$1,466.78	$1,466.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,466.78 / $1,524.87	Professional		$1,452.25	$1,466.78	$1,524.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,178.38	Facility		$1,452.25	$1,452.25	$2,178.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $3,367.11	Professional		$1,452.25	$1,452.25	$3,367.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.05 / $2,550.00 / $2,550.00	Facility		$1,370.05	$2,550.00	$2,550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,999.83	Professional		$1,452.25	$1,452.25	$2,999.83