Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $1,862.09	Facility		$1,412.54	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $3,311.31	Professional		$1,698.24	$1,949.84	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,398.83	Facility		$1,949.84	$1,949.84	$2,398.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,162.28 / $3,162.28	Facility		$34.67	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $10,471.29	Professional		$1,513.56	$2,570.40	$10,471.29
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 $1,445.44 / $2,089.30 / $3,162.28	Professional		$1,445.44	$2,089.30	$3,162.28