Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,153.71 / $3,050.00	Facility		$1,400.00	$2,153.71	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,648.22 / $2,039.21 / $2,364.52	Professional		$1,648.22	$2,039.21	$2,364.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,592.87 / $33,614.26 / $66,437.59	Facility		$7,592.87	$33,614.26	$66,437.59
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 $2,432.65 / $2,432.65 / $2,432.65	Facility		$2,432.65	$2,432.65	$2,432.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,127.93 / $10,127.93 / $10,127.93	Professional		$10,127.93	$10,127.93	$10,127.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.09 / $1,894.91 / $3,581.41	Professional		$1,119.09	$1,894.91	$3,581.41