Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.53 / $1,060.53 / $1,060.53	Facility		$1,060.53	$1,060.53	$1,060.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.17 / $1,015.00 / $1,060.53	Professional		$840.17	$1,015.00	$1,060.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,334.32 / $2,416.08 / $3,592.40	Facility		$1,334.32	$2,416.08	$3,592.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,127.50 / $1,436.96 / $1,932.86	Professional		$1,127.50	$1,436.96	$1,932.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $2,064.09	Facility		$1,006.48	$1,006.48	$2,064.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $8,651.23	Professional		$734.73	$734.73	$8,651.23
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.75 / $1,024.13 / $1,706.88	Professional		$682.75	$1,024.13	$1,706.88