Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,700.00 / $5,358.25	Facility		$1,400.00	$1,700.00	$5,358.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.78 / $5,358.25 / $6,751.45	Professional		$1,292.78	$5,358.25	$6,751.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,648.47 / $66,757.36 / $133,371.60	Facility		$14,648.47	$66,757.36	$133,371.60
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 $6,582.58 / $6,582.58 / $6,582.58	Facility		$6,582.58	$6,582.58	$6,582.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24,931.59 / $24,931.59 / $24,931.59	Professional		$24,931.59	$24,931.59	$24,931.59
United Facility/Professional Professional Modifier Low / Median / High Price $781.55 / $1,133.25 / $2,014.84	Professional		$781.55	$1,133.25	$2,014.84