Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.36 / $1,623.36 / $1,623.36	Facility		$1,623.36	$1,623.36	$1,623.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.36 / $1,623.36 / $1,746.00	Professional		$1,623.36	$1,623.36	$1,746.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,151.87 / $4,469.27 / $5,793.50	Facility		$2,151.87	$4,469.27	$5,793.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,151.87 / $2,317.40 / $3,972.68	Professional		$2,151.87	$2,317.40	$3,972.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $4,343.18	Facility		$2,482.86	$2,482.86	$4,343.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,482.86 / $18,203.59	Professional		$1,812.49	$2,482.86	$18,203.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.50 / $2,182.50 / $2,182.50	Facility		$2,182.50	$2,182.50	$2,182.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,651.61 / $2,307.14 / $2,765.04	Professional		$1,651.61	$2,307.14	$2,765.04