Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,786.30 / $4,786.30	Facility		$1,412.54	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $8,128.31	Professional		$4,168.69	$4,897.79	$8,128.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,165.95	Facility		$5,011.87	$5,011.87	$6,165.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $7,943.28 / $7,943.28	Facility		$34.67	$7,943.28	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,456.54 / $25,118.86	Professional		$3,890.45	$6,456.54	$25,118.86
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 $3,548.13 / $5,011.87 / $7,585.78	Professional		$3,548.13	$5,011.87	$7,585.78