Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,162.28	Professional		$1,445.44	$1,819.70	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $5,248.07	Facility		$2,570.40	$2,570.40	$5,248.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,677.35	Professional		$2,754.23	$2,754.23	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,888.44 / $5,888.44	Facility		$1,995.26	$5,888.44	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $17,782.79	Professional		$1,479.11	$1,479.11	$17,782.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,715.35	Facility		$1,584.89	$2,137.96	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,691.53	Professional		$1,445.44	$1,819.70	$2,691.53