Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,737.80	Facility		$1,412.54	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $3,467.37	Professional		$1,621.81	$1,819.70	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,344.23	Facility		$1,905.46	$1,905.46	$2,344.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,090.30 / $3,090.30	Facility		$34.67	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $10,964.78	Professional		$1,737.80	$2,570.40	$10,964.78
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 $1,479.11 / $2,041.74 / $3,235.94	Professional		$1,479.11	$2,041.74	$3,235.94