Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.66 / $1,023.66 / $1,023.66	Facility		$1,023.66	$1,023.66	$1,023.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.66 / $1,023.66 / $1,194.43	Professional		$1,023.66	$1,023.66	$1,194.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,385.77 / $2,878.15 / $3,756.44	Facility		$1,385.77	$2,878.15	$3,756.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,356.94 / $1,492.37 / $2,558.35	Professional		$1,356.94	$1,492.37	$2,558.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,764.58	Facility		$1,620.00	$1,620.00	$2,764.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $11,587.18	Professional		$1,182.59	$1,620.00	$11,587.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.94 / $2,365.94 / $2,365.94	Facility		$2,365.94	$2,365.94	$2,365.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.48 / $1,255.39 / $1,633.91	Professional		$1,041.48	$1,255.39	$1,633.91