Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.10 / $1,289.91 / $2,044.59	Facility		$1,011.10	$1,289.91	$2,044.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.10 / $1,341.24 / $2,381.31	Professional		$1,011.10	$1,341.24	$2,381.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.52 / $1,114.52 / $1,338.17	Facility		$1,023.52	$1,114.52	$1,338.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $786.62 / $1,189.49 / $1,189.49	Professional		$786.62	$1,189.49	$1,189.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.12 / $1,787.12 / $1,787.12	Facility		$1,787.12	$1,787.12	$1,787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.79 / $1,833.71 / $4,443.53	Professional		$1,100.79	$1,833.71	$4,443.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.14 / $1,742.09 / $2,412.98	Professional		$1,098.14	$1,742.09	$2,412.98