Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,235.94 / $3,235.94	Facility		$1,412.54	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $5,495.41	Professional		$2,884.03	$3,311.31	$5,495.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,168.69	Facility		$3,388.44	$3,388.44	$4,168.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,370.32 / $5,370.32	Facility		$34.67	$5,370.32	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $14,791.08	Professional		$2,570.40	$4,265.80	$14,791.08
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 $2,630.27 / $3,801.89 / $5,888.44	Professional		$2,630.27	$3,801.89	$5,888.44