Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,712.11 / $1,712.11 / $1,712.11	Facility		$1,712.11	$1,712.11	$1,712.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,694.92 / $1,712.11 / $1,841.45	Professional		$1,694.92	$1,712.11	$1,841.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,269.52 / $4,567.97 / $6,110.25	Facility		$2,269.52	$4,567.97	$6,110.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,269.52 / $2,444.10 / $4,060.43	Professional		$2,269.52	$2,444.10	$4,060.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $4,137.43	Facility		$2,375.33	$2,375.33	$4,137.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $2,375.33 / $17,341.25	Professional		$1,733.99	$2,375.33	$17,341.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,834.85 / $3,834.85 / $3,834.85	Facility		$3,834.85	$3,834.85	$3,834.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,741.90 / $2,358.11 / $3,032.84	Professional		$1,741.90	$2,358.11	$3,032.84