Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,412.54	Facility		$1,230.27	$1,230.27	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,513.56	Professional		$1,230.27	$1,318.26	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,584.89	Facility		$1,258.93	$1,258.93	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,041.74 / $2,041.74	Facility		$34.67	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,862.09 / $8,128.31	Professional		$1,000.00	$1,862.09	$8,128.31
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 $954.99 / $1,318.26 / $2,089.30	Professional		$954.99	$1,318.26	$2,089.30