Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $1,949.84	Facility		$1,071.52	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,174.90	Professional		$870.96	$1,000.00	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $3,890.45	Facility		$1,096.48	$2,089.30	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $6,309.57 / $6,309.57	Professional		$1,513.56	$6,309.57	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $1,318.26	Professional		$549.54	$588.84	$1,318.26