Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.54 / $1,368.54 / $1,368.54	Facility		$1,368.54	$1,368.54	$1,368.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,353.61 / $1,368.54 / $1,471.93	Professional		$1,353.61	$1,368.54	$1,471.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,814.09 / $3,767.73 / $4,927.46	Facility		$1,814.09	$3,767.73	$4,927.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,814.09 / $1,953.64 / $3,342.05	Professional		$1,814.09	$1,953.64	$3,342.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $3,568.19	Facility		$2,125.02	$2,125.02	$3,568.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $2,125.02 / $14,955.35	Professional		$1,551.26	$2,125.02	$14,955.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,392.35 / $1,940.90 / $2,320.59	Professional		$1,392.35	$1,940.90	$2,320.59