Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $2,691.53	Facility		$1,412.54	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $8,128.31	Professional		$2,454.71	$2,754.23	$8,128.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,801.89	Facility		$3,019.95	$3,019.95	$3,801.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,786.30 / $4,786.30	Facility		$34.67	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $13,489.63	Professional		$2,570.40	$4,073.80	$13,489.63
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 $2,089.30 / $2,754.23 / $4,570.88	Professional		$2,089.30	$2,754.23	$4,570.88