Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $2,398.83	Facility		$1,412.54	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $2,818.38	Professional		$2,290.87	$2,511.89	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,019.95	Facility		$2,398.83	$2,398.83	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,801.89 / $3,801.89	Facility		$34.67	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $21,379.62	Professional		$1,862.09	$3,548.13	$21,379.62
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 $1,862.09 / $2,630.27 / $3,981.07	Professional		$1,862.09	$2,630.27	$3,981.07