Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $2,754.23	Facility		$1,412.54	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $4,786.30	Professional		$2,511.89	$2,884.03	$4,786.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,548.13	Facility		$2,884.03	$2,884.03	$3,548.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,677.35 / $4,677.35	Facility		$34.67	$4,677.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $15,488.17	Professional		$2,238.72	$3,715.35	$15,488.17
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 $2,137.96 / $3,090.30 / $4,677.35	Professional		$2,137.96	$3,090.30	$4,677.35