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 $1,047.13 / $1,202.26 / $1,949.84	Professional		$1,047.13	$1,202.26	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,479.11	Facility		$1,174.90	$1,174.90	$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 / $1,905.46 / $1,905.46	Facility		$34.67	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $5,888.44	Professional		$933.25	$1,584.89	$5,888.44
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 $933.25 / $1,412.54 / $2,238.72	Professional		$933.25	$1,412.54	$2,238.72