Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,041.74	Facility		$1,412.54	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $3,388.44	Professional		$1,862.09	$2,041.74	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,951.21	Facility		$2,344.23	$2,344.23	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,715.35 / $3,715.35	Facility		$34.67	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $12,589.25	Professional		$1,949.84	$3,090.30	$12,589.25
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 $1,778.28 / $2,398.83 / $3,630.78	Professional		$1,778.28	$2,398.83	$3,630.78