Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,829.51 / $1,829.51	Facility		$1,400.00	$1,829.51	$1,829.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.72 / $1,829.51 / $3,006.37	Professional		$1,002.72	$1,829.51	$3,006.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,050.93 / $22,360.95 / $45,989.05	Facility		$5,050.93	$22,360.95	$45,989.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119,998.80 / $119,998.80 / $119,998.80	Professional		$119,998.80	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,763.65 / $1,763.65 / $1,763.65	Facility		$1,763.65	$1,763.65	$1,763.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,527.00 / $5,527.00 / $5,527.00	Professional		$5,527.00	$5,527.00	$5,527.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,532.03 / $2,174.06 / $3,589.85	Professional		$1,532.03	$2,174.06	$3,589.85