Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,445.44	Facility		$1,412.54	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,698.24	Professional		$1,412.54	$1,513.56	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,344.23 / $2,344.23	Facility		$34.67	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $8,709.64	Professional		$1,148.15	$2,187.76	$8,709.64
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 $1,122.02 / $1,584.89 / $2,454.71	Professional		$1,122.02	$1,584.89	$2,454.71