Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.44 / $1,375.44 / $1,400.00	Facility		$1,375.44	$1,375.44	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.99 / $1,447.41 / $1,652.72	Professional		$1,288.99	$1,447.41	$1,652.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,544.06 / $1,714.44 / $1,867.91	Facility		$1,544.06	$1,714.44	$1,867.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,660.37 / $1,660.37 / $1,660.37	Professional		$1,660.37	$1,660.37	$1,660.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,652.99 / $1,652.99 / $1,652.99	Facility		$1,652.99	$1,652.99	$1,652.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.51 / $2,075.46 / $8,738.54	Professional		$1,410.51	$2,075.46	$8,738.54
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.43 / $1,640.86 / $2,591.21	Professional		$1,188.43	$1,640.86	$2,591.21