Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,041.74	Facility		$1,412.54	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,570.40	Professional		$2,041.74	$2,187.76	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,570.40	Facility		$2,089.30	$2,089.30	$2,570.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,388.44 / $3,388.44	Facility		$34.67	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $10,000.00	Professional		$1,698.24	$3,019.95	$10,000.00
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 $1,071.52 / $1,862.09 / $3,090.30	Professional		$1,071.52	$1,862.09	$3,090.30