Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $18,004.75 / $18,004.75	Facility		$1,700.00	$18,004.75	$18,004.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,629.96 / $1,706.48 / $3,557.81	Professional		$1,629.96	$1,706.48	$3,557.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,746.68 / $1,746.68 / $2,134.69	Facility		$1,746.68	$1,746.68	$2,134.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,897.50 / $1,897.50 / $1,897.50	Professional		$1,897.50	$1,897.50	$1,897.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,865.42 / $1,865.42 / $1,865.42	Facility		$1,865.42	$1,865.42	$1,865.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,589.38 / $2,371.88 / $4,791.03	Professional		$1,589.38	$2,371.88	$4,791.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.84 / $1,876.91 / $2,656.38	Professional		$1,291.84	$1,876.91	$2,656.38