Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.45 / $1,509.45 / $1,509.45	Facility		$1,509.45	$1,509.45	$1,509.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.56 / $1,229.48 / $1,509.45	Professional		$1,066.56	$1,229.48	$1,509.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.86 / $255.50 / $1,782.12	Facility		$132.86	$255.50	$1,782.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $143.08 / $1,919.20	Professional		$132.86	$143.08	$1,919.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,707.20 / $2,707.20 / $2,707.20	Facility		$2,707.20	$2,707.20	$2,707.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $1,491.30 / $8,456.54	Professional		$160.65	$1,491.30	$8,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $992.09 / $1,570.80	Facility		$117.36	$992.09	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $851.41 / $1,297.69 / $2,576.23	Professional		$851.41	$1,297.69	$2,576.23