Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.39 / $1,400.00 / $2,300.00	Facility		$1,153.39	$1,400.00	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.82 / $1,213.32 / $1,743.05	Professional		$1,132.82	$1,213.32	$1,743.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,237.72 / $1,386.08 / $1,510.16	Facility		$1,237.72	$1,386.08	$1,510.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $688.64 / $1,342.37 / $1,342.37	Professional		$688.64	$1,342.37	$1,342.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.60 / $1,322.60 / $1,322.60	Facility		$1,322.60	$1,322.60	$1,322.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.97 / $1,773.29 / $3,366.65	Professional		$1,127.97	$1,773.29	$3,366.65
United Facility/Professional Facility Modifier Low / Median / High Price $20,028.63 / $20,028.63 / $20,028.63	Facility		$20,028.63	$20,028.63	$20,028.63
United Facility/Professional Professional Modifier Low / Median / High Price $942.38 / $1,489.03 / $2,215.39	Professional		$942.38	$1,489.03	$2,215.39