Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,862.09	Professional		$933.25	$1,071.52	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,951.21	Facility		$1,445.44	$1,445.44	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,630.27	Professional		$1,548.82	$1,548.82	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $3,467.37	Facility		$1,230.27	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $10,471.29	Professional		$891.25	$891.25	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,238.72	Facility		$1,288.25	$1,288.25	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,778.28	Professional		$1,000.00	$1,348.96	$1,778.28