Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,075.10 / $2,075.10 / $2,075.10	Facility		$2,075.10	$2,075.10	$2,075.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.37 / $1,873.65 / $2,075.10	Professional		$1,628.37	$1,873.65	$2,075.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.48 / $389.38 / $545.13	Facility		$202.48	$389.38	$545.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.48 / $218.05 / $280.35	Professional		$202.48	$218.05	$280.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $3,582.22	Facility		$1,950.00	$1,950.00	$3,582.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.82 / $1,950.00 / $15,014.16	Professional		$244.82	$1,950.00	$15,014.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.09 / $1,636.07 / $2,838.62	Professional		$1,074.09	$1,636.07	$2,838.62