Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.83 / $1,505.83 / $1,505.83	Facility		$1,505.83	$1,505.83	$1,505.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.83 / $1,505.83 / $1,619.60	Professional		$1,505.83	$1,505.83	$1,619.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,264.85 / $4,571.92 / $5,527.62	Facility		$2,264.85	$4,571.92	$5,527.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,996.09 / $2,439.07 / $4,181.27	Professional		$1,996.09	$2,439.07	$4,181.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $4,083.26	Facility		$2,571.77	$2,571.77	$4,083.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,571.77 / $16,571.98	Professional		$1,877.39	$2,571.77	$16,571.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,532.03 / $2,140.12 / $2,553.39	Professional		$1,532.03	$2,140.12	$2,553.39