Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.24 / $1,629.94 / $1,955.92	Facility		$1,069.24	$1,629.94	$1,955.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.96 / $1,069.24 / $1,108.35	Professional		$977.96	$1,069.24	$1,108.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,760.33 / $7,334.72 / $35,206.66	Facility		$1,760.33	$7,334.72	$35,206.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,564.74 / $1,760.33 / $119,998.80	Professional		$1,564.74	$1,760.33	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,059.46 / $1,564.74 / $3,911.54	Facility		$1,059.46	$1,564.74	$3,911.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,285.04 / $6,285.04 / $6,285.04	Professional		$6,285.04	$6,285.04	$6,285.04
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $558.99 / $1,621.07	Professional		$469.55	$558.99	$1,621.07