Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $2,290.87	Facility		$1,412.54	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $3,890.45	Professional		$2,089.30	$2,344.23	$3,890.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,801.89 / $3,801.89	Facility		$34.67	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $12,882.50	Professional		$1,862.09	$3,090.30	$12,882.50
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 $1,778.28 / $2,511.89 / $3,890.45	Professional		$1,778.28	$2,511.89	$3,890.45