Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,698.24	Facility		$1,230.27	$1,230.27	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $2,041.74	Professional		$1,148.15	$1,288.25	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,698.24	Facility		$1,412.54	$1,412.54	$1,698.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,290.87	Facility		$2,238.72	$2,238.72	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $6,760.83	Professional		$1,258.93	$1,995.26	$6,760.83
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 $1,000.00 / $1,412.54 / $2,089.30	Professional		$1,000.00	$1,412.54	$2,089.30