Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $2,511.89	Facility		$1,412.54	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,570.88	Professional		$2,290.87	$2,691.53	$4,570.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,073.80	Facility		$3,235.94	$3,235.94	$4,073.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,128.61 / $5,128.61	Facility		$34.67	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $14,454.40	Professional		$2,754.23	$4,168.69	$14,454.40
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 / $2,951.21 / $4,466.84	Professional		$2,089.30	$2,951.21	$4,466.84