Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $1,994.40 / $1,994.40	Facility		$1,994.40	$1,994.40	$1,994.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.40 / $1,994.40 / $2,145.08	Professional		$1,994.40	$1,994.40	$2,145.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,783.29 / $3,253.80 / $6,100.88	Facility		$1,783.29	$3,253.80	$6,100.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,112.50 / $2,643.71 / $3,660.53	Professional		$1,112.50	$2,643.71	$3,660.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $4,656.14	Facility		$3,214.74	$3,214.74	$4,656.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $3,214.74 / $19,482.39	Professional		$2,732.53	$3,214.74	$19,482.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,029.11 / $2,520.98 / $3,183.31	Professional		$2,029.11	$2,520.98	$3,183.31