Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.71 / $1,958.05 / $1,958.05	Facility		$1,631.71	$1,958.05	$1,958.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.03 / $1,044.30 / $1,109.56	Professional		$979.03	$1,044.30	$1,109.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,762.25 / $7,342.71 / $35,245.00	Facility		$1,762.25	$7,342.71	$35,245.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,566.44 / $1,762.25 / $119,998.80	Professional		$1,566.44	$1,762.25	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.60 / $1,566.44 / $3,915.78	Facility		$1,060.60	$1,566.44	$3,915.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,291.88 / $6,291.88 / $6,291.88	Professional		$6,291.88	$6,291.88	$6,291.88
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $652.69 / $2,088.59	Professional		$548.26	$652.69	$2,088.59