Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,632.58 / $3,550.00	Facility		$1,400.00	$1,632.58	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,632.58 / $1,741.00 / $2,202.57	Professional		$1,632.58	$1,741.00	$2,202.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,958.09 / $28,135.43 / $55,608.84	Facility		$5,958.09	$28,135.43	$55,608.84
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 $2,146.30 / $2,146.30 / $2,146.30	Facility		$2,146.30	$2,146.30	$2,146.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,478.37 / $8,478.37 / $8,478.37	Professional		$8,478.37	$8,478.37	$8,478.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.34 / $1,816.91 / $2,842.75	Professional		$1,374.34	$1,816.91	$2,842.75