Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,412.54	Facility		$1,148.15	$1,148.15	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,380.38	Professional		$1,122.02	$1,230.27	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,479.11	Facility		$1,202.26	$1,202.26	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $1,949.84	Facility		$34.67	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,737.80 / $6,606.93	Professional		$933.25	$1,737.80	$6,606.93
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 $870.96 / $1,230.27 / $1,949.84	Professional		$870.96	$1,230.27	$1,949.84