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 / $1,698.24	Facility		$1,047.13	$1,047.13	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,862.09	Professional		$933.25	$1,047.13	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,348.96	Facility		$1,122.02	$1,122.02	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,778.28 / $1,778.28	Facility		$34.67	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $5,248.07	Professional		$1,000.00	$1,584.89	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $8,128.31	Facility		$2,454.71	$2,454.71	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,737.80	Professional		$851.14	$1,230.27	$1,737.80