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 $1,621.81 / $1,862.09 / $3,162.28	Professional		$1,621.81	$1,862.09	$3,162.28
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 / $3,090.30 / $3,090.30	Facility		$34.67	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $9,549.93	Professional		$1,513.56	$2,454.71	$9,549.93
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 $1,412.54 / $1,905.46 / $2,951.21	Professional		$1,412.54	$1,905.46	$2,951.21