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 / $2,570.40	Facility		$1,047.13	$1,047.13	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,698.24	Professional		$912.01	$1,047.13	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,348.96	Facility		$1,096.48	$1,096.48	$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 / $1,659.59 / $7,943.28	Professional		$1,000.00	$1,659.59	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $20,417.38	Facility		$3,548.13	$3,548.13	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,862.09	Professional		$851.14	$1,258.93	$1,862.09