Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $2,691.53	Facility		$1,412.54	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $4,570.88	Professional		$2,691.53	$3,090.30	$4,570.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,548.13	Facility		$2,951.21	$2,951.21	$3,548.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,677.35 / $4,677.35	Facility		$34.67	$4,677.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $13,182.57	Professional		$2,290.87	$3,890.45	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,365.16	Professional		$1,905.46	$2,691.53	$4,365.16