Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.58 / $1,670.11 / $2,004.14	Facility		$1,095.58	$1,670.11	$2,004.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.07 / $1,095.58 / $1,135.68	Professional		$1,002.07	$1,095.58	$1,135.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,469.70 / $2,004.14 / $30,062.03	Facility		$1,469.70	$2,004.14	$30,062.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,803.72 / $2,204.55	Professional		$1,336.09	$1,803.72	$2,204.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,085.58 / $1,603.31 / $4,007.94	Facility		$1,085.58	$1,603.31	$4,007.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,439.95 / $6,439.95 / $6,439.95	Professional		$6,439.95	$6,439.95	$6,439.95
United Facility/Professional Facility Modifier Low / Median / High Price $561.16 / $561.16 / $561.16	Facility		$561.16	$561.16	$561.16
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $601.24 / $1,803.72	Professional		$561.16	$601.24	$1,803.72