Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,364.49 / $1,364.49 / $1,364.49	Facility		$1,364.49	$1,364.49	$1,364.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.97 / $1,305.89 / $1,577.03	Professional		$1,210.97	$1,305.89	$1,577.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,716.75 / $3,303.02 / $4,622.01	Facility		$1,716.75	$3,303.02	$4,622.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,712.68 / $1,848.81 / $2,936.02	Professional		$1,712.68	$1,848.81	$2,936.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $3,087.03	Facility		$1,638.80	$1,638.80	$3,087.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $12,938.66	Professional		$1,196.32	$1,196.32	$12,938.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,203.23 / $1,203.23 / $1,870.83	Facility		$1,203.23	$1,203.23	$1,870.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.56 / $1,347.84 / $2,196.08	Professional		$1,017.56	$1,347.84	$2,196.08