Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.91 / $1,041.91 / $1,400.00	Facility		$1,041.91	$1,041.91	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.91 / $1,090.34 / $1,209.60	Professional		$1,041.91	$1,090.34	$1,209.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.79 / $1,202.66 / $1,310.32	Facility		$1,042.79	$1,202.66	$1,310.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,164.73 / $1,164.73 / $1,164.73	Professional		$1,164.73	$1,164.73	$1,164.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,118.04 / $1,118.04 / $1,118.04	Facility		$1,118.04	$1,118.04	$1,118.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.47 / $1,543.12 / $6,399.21	Professional		$926.47	$1,543.12	$6,399.21
United Facility/Professional Facility Modifier Low / Median / High Price $15,155.78 / $15,155.78 / $15,155.78	Facility		$15,155.78	$15,155.78	$15,155.78
United Facility/Professional Professional Modifier Low / Median / High Price $841.47 / $1,219.32 / $1,880.08	Professional		$841.47	$1,219.32	$1,880.08