Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.32 / $1,453.32 / $1,453.32	Facility		$1,453.32	$1,453.32	$1,453.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,453.32 / $1,453.32 / $1,850.79	Professional		$1,453.32	$1,453.32	$1,850.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,926.47 / $3,855.56 / $5,186.64	Facility		$1,926.47	$3,855.56	$5,186.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,926.47 / $2,074.66 / $3,427.16	Professional		$1,926.47	$2,074.66	$3,427.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $3,708.82	Facility		$2,050.41	$2,050.41	$3,708.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $15,544.79	Professional		$1,496.80	$1,496.80	$15,544.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.61 / $1,990.33 / $2,475.41	Professional		$1,478.61	$1,990.33	$2,475.41