Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,656.80 / $4,050.00 / $4,860.00	Facility		$2,656.80	$4,050.00	$4,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,430.00 / $2,656.80 / $2,754.00	Professional		$2,430.00	$2,656.80	$2,754.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,374.00 / $18,225.00 / $87,480.00	Facility		$4,374.00	$18,225.00	$87,480.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $4,374.00 / $119,998.80	Professional		$3,888.00	$4,374.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,632.50 / $3,888.00 / $9,719.19	Facility		$2,632.50	$3,888.00	$9,719.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,616.80 / $15,616.80 / $15,616.80	Professional		$15,616.80	$15,616.80	$15,616.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,620.00 / $4,698.00	Professional		$1,360.80	$1,620.00	$4,698.00