Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $2,754.23	Facility		$1,412.54	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $3,235.94	Professional		$2,630.27	$2,884.03	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,467.37	Facility		$2,754.23	$2,754.23	$3,467.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,466.84 / $4,466.84	Facility		$34.67	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,073.80 / $12,022.64	Professional		$2,187.76	$4,073.80	$12,022.64
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 $1,778.28 / $2,570.40 / $4,265.80	Professional		$1,778.28	$2,570.40	$4,265.80