Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.21 / $1,048.21 / $1,048.21	Facility		$1,048.21	$1,048.21	$1,048.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.97 / $1,048.21 / $1,127.41	Professional		$1,038.97	$1,048.21	$1,127.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,431.30 / $2,885.84 / $3,740.91	Facility		$1,431.30	$2,885.84	$3,740.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,389.48 / $1,541.40 / $2,642.40	Professional		$1,389.48	$1,541.40	$2,642.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $2,580.46	Facility		$1,222.54	$1,222.54	$2,580.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $10,503.84	Professional		$892.45	$892.45	$10,503.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,217.37 / $2,217.37 / $2,217.37	Facility		$2,217.37	$2,217.37	$2,217.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.46 / $1,363.50 / $1,777.43	Professional		$1,066.46	$1,363.50	$1,777.43