Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,089.30	Facility		$1,412.54	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,630.78	Professional		$1,949.84	$2,238.72	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,511.89	Facility		$2,089.30	$2,089.30	$2,511.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $72,443.60	Professional		$2,238.72	$2,238.72	$72,443.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,311.31 / $3,311.31	Facility		$34.67	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $11,220.18	Professional		$1,659.59	$2,630.27	$11,220.18
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 $1,548.82 / $2,290.87 / $3,548.13	Professional		$1,548.82	$2,290.87	$3,548.13