Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,698.24	Facility		$1,023.29	$1,023.29	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,737.80	Professional		$1,023.29	$1,174.90	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,288.25	Facility		$1,096.48	$1,096.48	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,862.09	Facility		$1,737.80	$1,737.80	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $5,011.87	Professional		$891.25	$1,318.26	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $16,595.87	Facility		$2,454.71	$2,454.71	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,659.59	Professional		$707.95	$933.25	$1,659.59