Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,173.00 / $3,312.50 / $3,975.00	Facility		$2,173.00	$3,312.50	$3,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $2,173.00 / $2,252.50	Professional		$1,987.50	$2,173.00	$2,252.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,577.50 / $14,906.25 / $71,550.00	Facility		$3,577.50	$14,906.25	$71,550.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,180.00 / $3,577.50 / $119,998.80	Professional		$3,180.00	$3,577.50	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,153.13 / $2,583.75 / $3,180.00	Facility		$2,153.13	$2,583.75	$3,180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,773.00 / $12,773.00 / $12,773.00	Professional		$12,773.00	$12,773.00	$12,773.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,325.00 / $3,842.50	Professional		$1,113.00	$1,325.00	$3,842.50