Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,175.00 / $2,610.00 / $2,610.00	Facility		$2,175.00	$2,610.00	$2,610.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,392.00 / $1,479.00	Professional		$1,305.00	$1,392.00	$1,479.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,349.00 / $9,787.50 / $46,980.00	Facility		$2,349.00	$9,787.50	$46,980.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,088.00 / $2,349.00 / $119,998.80	Professional		$2,088.00	$2,349.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,413.75 / $2,088.00 / $5,219.57	Facility		$1,413.75	$2,088.00	$5,219.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,386.79 / $8,386.79 / $8,386.79	Professional		$8,386.79	$8,386.79	$8,386.79
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $870.00 / $2,523.00	Professional		$730.80	$870.00	$2,523.00