Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,698.24	Facility		$1,202.26	$1,202.26	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $2,041.74	Professional		$1,174.90	$1,318.26	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,548.82	Facility		$1,288.25	$1,288.25	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,089.30 / $2,089.30	Facility		$34.67	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $7,413.10	Professional		$1,000.00	$1,737.80	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $19,498.45	Facility		$2,884.03	$2,884.03	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,137.96	Professional		$977.24	$1,348.96	$2,137.96