Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,248.81 / $2,248.81	Facility		$1,400.00	$2,248.81	$2,248.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.43 / $2,248.81 / $2,659.27	Professional		$971.43	$2,248.81	$2,659.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,439.30 / $30,407.80 / $62,536.32	Facility		$6,439.30	$30,407.80	$62,536.32
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 $2,200.19 / $2,200.19 / $2,200.19	Facility		$2,200.19	$2,200.19	$2,200.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,162.82 / $9,162.82 / $9,162.82	Professional		$9,162.82	$9,162.82	$9,162.82
United Facility/Professional Professional Modifier Low / Median / High Price $461.20 / $957.14 / $2,503.28	Professional		$461.20	$957.14	$2,503.28