Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.68 / $1,350.68 / $1,350.68	Facility		$1,350.68	$1,350.68	$1,350.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.68 / $1,350.68 / $1,589.28	Professional		$1,350.68	$1,350.68	$1,589.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,873.25 / $3,804.02 / $4,958.10	Facility		$1,873.25	$3,804.02	$4,958.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,790.43 / $2,017.35 / $3,458.32	Professional		$1,790.43	$2,017.35	$3,458.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $3,555.49	Facility		$2,084.13	$2,084.13	$3,555.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,084.13 / $14,902.14	Professional		$1,521.41	$2,084.13	$14,902.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,815.91 / $1,815.91 / $1,815.91	Facility		$1,815.91	$1,815.91	$1,815.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.19 / $1,815.91 / $2,290.32	Professional		$1,374.19	$1,815.91	$2,290.32