Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,922.96 / $1,922.96 / $1,922.96	Facility		$1,922.96	$1,922.96	$1,922.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.51 / $1,840.38 / $2,050.98	Professional		$1,748.51	$1,840.38	$2,050.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,419.41 / $4,769.20 / $6,513.80	Facility		$2,419.41	$4,769.20	$6,513.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,419.41 / $2,605.52 / $4,239.29	Professional		$2,419.41	$2,605.52	$4,239.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $4,547.30	Facility		$2,507.59	$2,507.59	$4,547.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $2,507.59 / $19,059.09	Professional		$1,830.54	$2,507.59	$19,059.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,477.19 / $1,956.66 / $3,094.91	Professional		$1,477.19	$1,956.66	$3,094.91