Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,951.21	Professional		$1,348.96	$1,819.70	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $4,265.80	Facility		$2,089.30	$2,089.30	$4,265.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,801.89	Professional		$2,238.72	$2,238.72	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,754.40 / $5,754.40	Facility		$2,454.71	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $17,378.01	Professional		$1,819.70	$1,819.70	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,715.35	Facility		$1,698.24	$2,089.30	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,019.95	Professional		$1,698.24	$2,238.72	$3,019.95