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 $2,344.23 / $2,570.40 / $4,570.88	Professional		$2,344.23	$2,570.40	$4,570.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,311.31	Facility		$2,754.23	$2,754.23	$3,311.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,365.16 / $4,365.16	Facility		$34.67	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $16,218.10	Professional		$2,344.23	$4,073.80	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $16,595.87	Facility		$3,548.13	$3,548.13	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $4,570.88	Professional		$2,089.30	$3,090.30	$4,570.88