Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,698.24	Facility		$1,318.26	$1,318.26	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,238.72	Professional		$1,148.15	$1,318.26	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,698.24	Facility		$1,348.96	$1,348.96	$1,698.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $2,187.76	Facility		$34.67	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $6,456.54	Professional		$1,071.52	$1,737.80	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $16,982.44	Facility		$3,548.13	$3,548.13	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,089.30	Professional		$1,000.00	$1,412.54	$2,089.30