Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,949.84	Professional		$1,000.00	$1,148.15	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,162.28	Facility		$1,513.56	$1,513.56	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,818.38	Professional		$1,621.81	$1,621.81	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $3,388.44	Facility		$1,819.70	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $10,232.93	Professional		$1,513.56	$1,513.56	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,584.89	Facility		$1,380.38	$1,380.38	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,905.46	Professional		$1,071.52	$1,445.44	$1,905.46