Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,090.30 / $3,090.30	Facility		$1,412.54	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $5,011.87	Professional		$2,818.38	$3,090.30	$5,011.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,365.16	Facility		$3,467.37	$3,467.37	$4,365.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,495.41 / $5,495.41	Facility		$34.67	$5,495.41	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $15,488.17	Professional		$2,951.21	$4,677.35	$15,488.17
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 $2,454.71 / $3,162.28 / $5,248.07	Professional		$2,454.71	$3,162.28	$5,248.07