Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $1,995.26	Facility		$1,412.54	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $3,235.94	Professional		$1,819.70	$1,995.26	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,884.03	Facility		$2,238.72	$2,238.72	$2,884.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $3,630.78	Facility		$34.67	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $11,481.54	Professional		$1,905.46	$2,951.21	$11,481.54
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 $1,659.59 / $2,187.76 / $3,388.44	Professional		$1,659.59	$2,187.76	$3,388.44