Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Facility		$1,202.26	$1,202.26	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,230.27	Professional		$1,047.13	$1,096.48	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,584.89	Facility		$1,288.25	$1,288.25	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,089.30 / $2,089.30	Facility		$34.67	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $5,754.40	Professional		$1,174.90	$1,737.80	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,905.46	Professional		$870.96	$1,174.90	$1,905.46