Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,412.54	Facility		$1,148.15	$1,148.15	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $2,041.74	Professional		$1,047.13	$1,202.26	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,548.82	Facility		$1,230.27	$1,230.27	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,995.26 / $1,995.26	Facility		$34.67	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $5,495.41	Professional		$954.99	$1,513.56	$5,495.41
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 $870.96 / $1,174.90 / $1,819.70	Professional		$870.96	$1,174.90	$1,819.70