Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $2,570.40	Facility		$1,412.54	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $2,754.23	Professional		$2,041.74	$2,511.89	$2,754.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,467.37	Facility		$2,818.38	$2,818.38	$3,467.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,570.88 / $4,570.88	Facility		$34.67	$4,570.88	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $14,791.08	Professional		$2,238.72	$3,548.13	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,754.40	Facility		$1,230.27	$1,230.27	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $4,168.69	Professional		$2,187.76	$3,019.95	$4,168.69