Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.66 / $1,538.66 / $1,538.66	Facility		$1,538.66	$1,538.66	$1,538.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,538.66 / $2,262.56 / $3,484.42	Professional		$1,538.66	$2,262.56	$3,484.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $434.63 / $869.27 / $5,491.22	Facility		$434.63	$869.27	$5,491.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,290.01 / $4,290.01 / $4,290.01	Facility		$4,290.01	$4,290.01	$4,290.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $17,645.09	Professional		$1,275.00	$1,275.00	$17,645.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,788.22 / $2,887.69 / $5,125.13	Professional		$1,788.22	$2,887.69	$5,125.13