Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,981.07 / $3,981.07	Facility		$1,412.54	$3,981.07	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $6,760.83	Professional		$3,467.37	$3,981.07	$6,760.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,128.61	Facility		$4,168.69	$4,168.69	$5,128.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,606.93 / $6,606.93	Facility		$34.67	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $29,512.09	Professional		$3,162.28	$5,011.87	$29,512.09
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 $3,019.95 / $4,168.69 / $6,309.57	Professional		$3,019.95	$4,168.69	$6,309.57