Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,550.00 / $8,483.54	Facility		$1,400.00	$3,550.00	$8,483.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.94 / $8,483.54 / $10,124.45	Professional		$892.94	$8,483.54	$10,124.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,380.74 / $188,584.10 / $376,767.70	Facility		$41,380.74	$188,584.10	$376,767.70
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 $12,420.94 / $12,420.94 / $12,420.94	Facility		$12,420.94	$12,420.94	$12,420.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39,219.18 / $39,219.18 / $39,219.18	Professional		$39,219.18	$39,219.18	$39,219.18
United Facility/Professional Professional Modifier Low / Median / High Price $569.54 / $854.33 / $1,468.30	Professional		$569.54	$854.33	$1,468.30