Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,630.78 / $3,630.78	Facility		$1,412.54	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $6,165.95	Professional		$3,162.28	$3,630.78	$6,165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,677.35	Facility		$3,715.35	$3,715.35	$4,677.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,025.60 / $6,025.60	Facility		$34.67	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,677.35 / $26,302.68	Professional		$2,884.03	$4,677.35	$26,302.68
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 $2,691.53 / $3,715.35 / $5,754.40	Professional		$2,691.53	$3,715.35	$5,754.40