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 / $5,362.57	Facility		$1,400.00	$1,700.00	$5,362.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $5,362.57 / $8,742.74	Professional		$632.91	$5,362.57	$8,742.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37,837.40 / $172,436.10 / $344,505.10	Facility		$37,837.40	$172,436.10	$344,505.10
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 $11,456.39 / $11,456.39 / $11,456.39	Facility		$11,456.39	$11,456.39	$11,456.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35,882.73 / $35,882.73 / $35,882.73	Professional		$35,882.73	$35,882.73	$35,882.73
United Facility/Professional Professional Modifier Low / Median / High Price $386.29 / $680.45 / $1,361.57	Professional		$386.29	$680.45	$1,361.57