Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $2,398.83	Facility		$1,412.54	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $4,073.80	Professional		$2,041.74	$2,398.83	$4,073.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,019.95	Facility		$2,454.71	$2,454.71	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,890.45 / $3,890.45	Facility		$34.67	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $12,022.64	Professional		$1,862.09	$3,090.30	$12,022.64
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 / $2,454.71 / $3,715.35	Professional		$1,778.28	$2,454.71	$3,715.35