Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,548.82	Facility		$1,412.54	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $3,019.95	Professional		$1,412.54	$1,584.89	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,089.30	Facility		$1,659.59	$1,659.59	$2,089.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,691.53 / $2,691.53	Facility		$34.67	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $9,332.54	Professional		$1,513.56	$2,238.72	$9,332.54
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 $1,230.27 / $1,621.81 / $2,570.40	Professional		$1,230.27	$1,621.81	$2,570.40