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 / $1,412.54	Facility		$1,202.26	$1,202.26	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,445.44	Professional		$1,174.90	$1,258.93	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,513.56	Facility		$1,202.26	$1,202.26	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $1,949.84	Facility		$34.67	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,778.28 / $8,128.31	Professional		$954.99	$1,778.28	$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 / $2,041.74	Professional		$954.99	$1,318.26	$2,041.74