Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $3,019.95	Facility		$1,288.25	$1,288.25	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,584.89	Professional		$1,288.25	$1,380.38	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,621.81	Facility		$1,318.26	$1,318.26	$1,621.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,089.30 / $2,089.30	Facility		$34.67	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $7,079.46	Professional		$1,023.29	$1,949.84	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $8,912.51	Facility		$2,884.03	$2,884.03	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,238.72	Professional		$977.24	$1,380.38	$2,238.72