Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.09 / $1,121.09 / $1,400.00	Facility		$1,121.09	$1,121.09	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $247.46 / $1,616.27	Professional		$224.96	$247.46	$1,616.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,397.52 / $28,322.38 / $58,247.92	Facility		$6,397.52	$28,322.38	$58,247.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35,999.64 / $119,998.80 / $119,998.80	Professional		$35,999.64	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,613.67 / $1,613.67 / $1,613.67	Facility		$1,613.67	$1,613.67	$1,613.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.38 / $6,763.38 / $6,763.38	Professional		$6,763.38	$6,763.38	$6,763.38
United Facility/Professional Professional Modifier Low / Median / High Price $692.47 / $1,154.11 / $2,040.27	Professional		$692.47	$1,154.11	$2,040.27