Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,344.23	Professional		$1,174.90	$1,348.96	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,715.35	Facility		$1,819.70	$1,819.70	$3,715.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,311.31	Professional		$1,949.84	$1,949.84	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $4,365.16	Facility		$1,778.28	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $13,182.57	Professional		$1,318.26	$1,318.26	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,884.03	Facility		$1,621.81	$1,621.81	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,238.72	Professional		$1,258.93	$1,698.24	$2,238.72