Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,593.75 / $5,512.50 / $5,512.50	Facility		$4,593.75	$5,512.50	$5,512.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,756.25 / $2,940.00 / $3,123.75	Professional		$2,756.25	$2,940.00	$3,123.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,961.25 / $20,671.88 / $99,225.00	Facility		$4,961.25	$20,671.88	$99,225.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,410.00 / $4,961.25 / $119,998.80	Professional		$4,410.00	$4,961.25	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,985.94 / $4,410.00 / $11,024.08	Facility		$2,985.94	$4,410.00	$11,024.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,713.50 / $17,713.50 / $17,713.50	Professional		$17,713.50	$17,713.50	$17,713.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $1,543.50	Facility		$1,543.50	$1,543.50	$1,543.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,837.50 / $5,328.75	Professional		$1,543.50	$1,837.50	$5,328.75