Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,090.30 / $3,090.30	Facility		$1,412.54	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,248.07	Professional		$2,691.53	$3,090.30	$5,248.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,981.07	Facility		$3,235.94	$3,235.94	$3,981.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,128.61 / $5,128.61	Facility		$34.67	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $14,125.38	Professional		$2,290.87	$3,981.07	$14,125.38
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 $1,778.28 / $2,884.03 / $4,570.88	Professional		$1,778.28	$2,884.03	$4,570.88