Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.69 / $1,989.59 / $1,989.59	Facility		$1,252.69	$1,989.59	$1,989.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,989.59 / $2,068.38	Professional		$1,969.89	$1,989.59	$2,068.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,954.84	Facility		$1,969.89	$1,969.89	$2,954.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $4,567.28	Professional		$1,969.89	$1,969.89	$4,567.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.38 / $2,296.02 / $2,296.02	Facility		$1,858.38	$2,296.02	$2,296.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,702.16	Professional		$1,969.89	$1,969.89	$2,702.16