Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,039.48 / $2,039.48 / $2,039.48	Facility		$2,039.48	$2,039.48	$2,039.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.30 / $1,506.00 / $2,039.48	Professional		$1,473.30	$1,506.00	$2,039.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $367.40 / $2,149.26	Facility		$159.19	$367.40	$2,149.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $171.45 / $2,314.59	Professional		$159.19	$171.45	$2,314.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $4,444.80	Facility		$303.33	$303.33	$4,444.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $303.33 / $8,352.10	Professional		$192.51	$303.33	$8,352.10
United Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $444.48 / $2,389.89	Professional		$191.54	$444.48	$2,389.89