Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,412.54	Facility		$1,047.13	$1,047.13	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,905.46	Professional		$977.24	$1,122.02	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,412.54	Facility		$1,174.90	$1,174.90	$1,412.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,862.09 / $1,862.09	Facility		$34.67	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $6,918.31	Professional		$1,071.52	$1,548.82	$6,918.31
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 $891.25 / $1,230.27 / $1,905.46	Professional		$891.25	$1,230.27	$1,905.46