Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.15 / $1,428.15 / $1,428.15	Facility		$1,428.15	$1,428.15	$1,428.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.15 / $1,428.15 / $1,538.79	Professional		$1,428.15	$1,428.15	$1,538.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,893.11 / $3,931.85 / $5,226.39	Facility		$1,893.11	$3,931.85	$5,226.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,893.11 / $2,038.74 / $3,494.98	Professional		$1,893.11	$2,038.74	$3,494.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $3,817.17	Facility		$1,819.89	$1,819.89	$3,817.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $15,998.93	Professional		$1,328.52	$1,819.89	$15,998.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,422.69 / $2,029.72 / $2,421.67	Professional		$1,422.69	$2,029.72	$2,421.67