Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.31 / $1,640.31 / $1,640.31	Facility		$1,640.31	$1,640.31	$1,640.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,625.84 / $1,640.31 / $1,764.23	Professional		$1,625.84	$1,640.31	$1,764.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,239.78 / $4,515.93 / $5,853.98	Facility		$2,239.78	$4,515.93	$5,853.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,174.33 / $2,412.07 / $4,134.97	Professional		$2,174.33	$2,412.07	$4,134.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $4,038.06	Facility		$2,217.07	$2,217.07	$4,038.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $2,217.07 / $16,498.04	Professional		$1,618.46	$2,217.07	$16,498.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,018.42 / $2,018.42 / $2,018.42	Facility		$2,018.42	$2,018.42	$2,018.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,668.85 / $2,235.13 / $2,905.67	Professional		$1,668.85	$2,235.13	$2,905.67