Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,570.40	Facility		$1,412.54	$1,737.80	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,818.38	Professional		$1,513.56	$1,737.80	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,290.87	Facility		$1,862.09	$1,862.09	$2,290.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,019.95 / $3,019.95	Facility		$34.67	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $8,317.64	Professional		$1,445.44	$2,398.83	$8,317.64
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 $851.14 / $1,445.44 / $2,570.40	Professional		$851.14	$1,445.44	$2,570.40