Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,344.23	Professional		$1,288.25	$1,513.56	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,073.80	Facility		$1,949.84	$1,949.84	$4,073.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $3,630.78	Professional		$2,137.96	$2,137.96	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,128.61 / $5,128.61	Facility		$1,819.70	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $15,488.17	Professional		$1,318.26	$1,318.26	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,388.44	Facility		$1,445.44	$1,949.84	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,454.71	Professional		$1,318.26	$1,659.59	$2,454.71