Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.44 / $1,201.44 / $1,201.44	Facility		$1,201.44	$1,201.44	$1,201.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.44 / $1,201.44 / $1,292.20	Professional		$1,201.44	$1,201.44	$1,292.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,592.59 / $3,533.93 / $4,410.25	Facility		$1,592.59	$3,533.93	$4,410.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,592.59 / $1,715.10 / $2,940.17	Professional		$1,592.59	$1,715.10	$2,940.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $3,206.42	Facility		$1,787.17	$1,787.17	$3,206.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $13,439.08	Professional		$1,304.63	$1,304.63	$13,439.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.33 / $1,707.51 / $2,037.24	Professional		$1,222.33	$1,707.51	$2,037.24