Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $1,905.46	Facility		$1,412.54	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,238.72	Professional		$1,819.70	$1,995.26	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,398.83	Facility		$1,905.46	$1,905.46	$2,398.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,019.95 / $3,019.95	Facility		$34.67	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,818.38 / $12,022.64	Professional		$1,479.11	$2,818.38	$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 $1,479.11 / $2,089.30 / $3,162.28	Professional		$1,479.11	$2,089.30	$3,162.28