Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $10,000.00 / $10,000.00	Facility		$5,495.41	$10,000.00	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,495.41 / $6,309.57	Professional		$4,897.79	$5,495.41	$6,309.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,715.19 / $20,417.38	Facility		$5,623.41	$10,715.19	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32,359.37 / $32,359.37 / $32,359.37	Professional		$32,359.37	$32,359.37	$32,359.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $8,511.38	Professional		$2,818.38	$3,019.95	$8,511.38