Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.10 / $2,437.50 / $2,925.00	Facility		$1,439.10	$2,437.50	$2,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $1,439.10 / $1,491.75	Professional		$1,316.25	$1,439.10	$1,491.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,632.50 / $10,968.75 / $52,650.00	Facility		$2,632.50	$10,968.75	$52,650.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,632.50 / $119,998.80	Professional		$2,340.00	$2,632.50	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.38 / $2,340.00 / $5,264.56	Facility		$1,584.38	$2,340.00	$5,264.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,399.00 / $9,399.00 / $9,399.00	Professional		$9,399.00	$9,399.00	$9,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $877.50 / $2,544.75	Professional		$737.10	$877.50	$2,544.75