Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.38 / $1,097.38 / $1,097.38	Facility		$1,097.38	$1,097.38	$1,097.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.98 / $1,050.25 / $1,376.52	Professional		$1,022.98	$1,050.25	$1,376.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.68 / $2,867.56 / $3,717.21	Facility		$1,380.68	$2,867.56	$3,717.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.68 / $1,486.88 / $2,548.94	Professional		$1,380.68	$1,486.88	$2,548.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $2,719.84	Facility		$1,327.28	$1,327.28	$2,719.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,327.28 / $11,399.69	Professional		$968.91	$1,327.28	$11,399.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,407.34 / $2,407.34 / $2,407.34	Facility		$2,407.34	$2,407.34	$2,407.34
United Facility/Professional Professional Modifier Low / Median / High Price $888.18 / $1,117.40 / $1,766.17	Professional		$888.18	$1,117.40	$1,766.17