Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,362.04 / $5,234.43 / $5,234.43	Facility		$4,362.04	$5,234.43	$5,234.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,617.21 / $2,791.70 / $2,966.19	Professional		$2,617.21	$2,791.70	$2,966.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,711.00 / $19,629.16 / $94,220.02	Facility		$4,711.00	$19,629.16	$94,220.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,187.56 / $4,711.00 / $119,998.80	Professional		$4,187.56	$4,711.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,835.33 / $4,187.56 / $10,468.02	Facility		$2,835.33	$4,187.56	$10,468.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,820.02 / $16,820.02 / $16,820.02	Professional		$16,820.02	$16,820.02	$16,820.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $1,744.82 / $5,059.96	Professional		$1,465.64	$1,744.82	$5,059.96