Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $1,995.26	Facility		$1,096.48	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,202.26	Professional		$954.99	$1,071.52	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $3,981.07	Facility		$1,122.02	$2,137.96	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $1,659.59	Professional		$562.34	$602.56	$1,659.59