Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,951.21 / $2,951.21	Facility		$1,412.54	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $5,011.87	Professional		$2,511.89	$2,951.21	$5,011.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,801.89	Facility		$3,019.95	$3,019.95	$3,801.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,897.79 / $4,897.79	Facility		$34.67	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $14,125.38	Professional		$2,398.83	$3,890.45	$14,125.38
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 $2,187.76 / $3,019.95 / $4,570.88	Professional		$2,187.76	$3,019.95	$4,570.88