Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,290.87	Facility		$1,047.13	$1,047.13	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,698.24	Professional		$954.99	$1,047.13	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,380.38	Facility		$1,122.02	$1,122.02	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,290.87	Facility		$1,819.70	$1,819.70	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $6,918.31	Professional		$933.25	$1,584.89	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $35,481.34	Facility		$3,548.13	$3,548.13	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,698.24	Professional		$812.83	$1,202.26	$1,698.24