Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.18 / $1,582.59 / $1,899.10	Facility		$1,038.18	$1,582.59	$1,899.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.55 / $1,038.18 / $1,076.16	Professional		$949.55	$1,038.18	$1,076.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,709.19 / $7,121.65 / $34,183.90	Facility		$1,709.19	$7,121.65	$34,183.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,519.28 / $1,709.19 / $119,998.80	Professional		$1,519.28	$1,709.19	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.69 / $2,057.38 / $3,797.91	Facility		$1,028.69	$2,057.38	$3,797.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,102.46 / $6,102.46 / $6,102.46	Professional		$6,102.46	$6,102.46	$6,102.46
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $633.04 / $1,835.80	Professional		$531.75	$633.04	$1,835.80