Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,949.84	Professional		$977.24	$1,202.26	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,090.30	Facility		$1,479.11	$1,479.11	$3,090.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,754.23	Professional		$1,584.89	$1,584.89	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $4,168.69	Facility		$1,513.56	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $12,589.25	Professional		$1,096.48	$1,096.48	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,630.27	Facility		$1,122.02	$1,513.56	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,905.46	Professional		$1,023.29	$1,288.25	$1,905.46