Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.67 / $2,220.67 / $2,220.67	Facility		$2,220.67	$2,220.67	$2,220.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.30 / $1,649.82 / $2,220.67	Professional		$1,473.30	$1,649.82	$2,220.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $335.97 / $2,149.26	Facility		$159.19	$335.97	$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 $5,393.40 / $5,393.40 / $5,393.40	Facility		$5,393.40	$5,393.40	$5,393.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $8,352.10	Professional		$192.51	$1,472.88	$8,352.10
United Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $539.34 / $2,489.34	Professional		$219.14	$539.34	$2,489.34