Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $2,290.87	Facility		$1,412.54	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,890.45	Professional		$1,995.26	$2,290.87	$3,890.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,951.21	Facility		$2,344.23	$2,344.23	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,801.89 / $3,801.89	Facility		$34.67	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $11,220.18	Professional		$1,819.70	$2,951.21	$11,220.18
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 $1,698.24 / $2,398.83 / $3,630.78	Professional		$1,698.24	$2,398.83	$3,630.78