Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,570.40	Facility		$1,122.02	$1,122.02	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,995.26	Professional		$977.24	$1,122.02	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,513.56	Facility		$1,202.26	$1,202.26	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $1,949.84	Facility		$34.67	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $5,754.40	Professional		$1,023.29	$1,698.24	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $20,417.38	Facility		$4,466.84	$4,466.84	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,778.28	Professional		$794.33	$1,122.02	$1,778.28