Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,624.00 / $4,000.00 / $4,800.00	Facility		$2,624.00	$4,000.00	$4,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,624.00 / $2,720.00	Professional		$2,400.00	$2,624.00	$2,720.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $18,000.00 / $86,400.00	Facility		$4,320.00	$18,000.00	$86,400.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $4,320.00 / $119,998.80	Professional		$3,840.00	$4,320.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $3,840.00 / $9,599.20	Facility		$2,600.00	$3,840.00	$9,599.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,424.00 / $15,424.00 / $15,424.00	Professional		$15,424.00	$15,424.00	$15,424.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,600.00 / $5,120.00	Professional		$1,344.00	$1,600.00	$5,120.00