Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $4,168.69	Professional		$2,089.30	$2,454.71	$4,168.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,019.95 / $6,606.93	Facility		$1,288.25	$3,019.95	$6,606.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,311.31 / $5,888.44	Professional		$1,380.38	$3,311.31	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $7,943.28	Facility		$2,818.38	$7,943.28	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $23,988.33	Professional		$2,398.83	$2,398.83	$23,988.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $3,467.37	Facility		$1,174.90	$2,818.38	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $4,168.69	Professional		$2,344.23	$3,090.30	$4,168.69