Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.15 / $1,384.15 / $2,600.00	Facility		$1,384.15	$1,384.15	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.45 / $1,384.15 / $2,429.98	Professional		$1,089.45	$1,384.15	$2,429.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,399.18 / $1,516.09 / $1,651.81	Facility		$1,399.18	$1,516.09	$1,651.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,291.39 / $1,389.75 / $1,642.43	Professional		$1,291.39	$1,389.75	$1,642.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,541.24 / $1,541.24 / $1,541.24	Facility		$1,541.24	$1,541.24	$1,541.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.45 / $1,590.63 / $7,164.93	Professional		$1,169.45	$1,590.63	$7,164.93
United Facility/Professional Facility Modifier Low / Median / High Price $10,572.63 / $10,572.63 / $10,572.63	Facility		$10,572.63	$10,572.63	$10,572.63
United Facility/Professional Professional Modifier Low / Median / High Price $974.39 / $1,331.83 / $1,957.70	Professional		$974.39	$1,331.83	$1,957.70