Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,584.89	Facility		$1,047.13	$1,047.13	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,778.28	Professional		$977.24	$1,122.02	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,479.11	Facility		$1,202.26	$1,202.26	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $1,949.84	Facility		$1,659.59	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $5,370.32	Professional		$1,023.29	$1,698.24	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $24,547.09	Facility		$3,548.13	$3,548.13	$24,547.09
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,737.80	Professional		$851.14	$1,174.90	$1,737.80