Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.48 / $2,657.75 / $3,189.30	Facility		$1,743.48	$2,657.75	$3,189.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.65 / $1,743.48 / $1,807.27	Professional		$1,594.65	$1,743.48	$1,807.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,870.37 / $11,959.88 / $57,407.40	Facility		$2,870.37	$11,959.88	$57,407.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,551.44 / $2,870.37 / $119,998.80	Professional		$2,551.44	$2,870.37	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,727.54 / $2,551.44 / $6,378.07	Facility		$1,727.54	$2,551.44	$6,378.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,248.28 / $10,248.28 / $10,248.28	Professional		$10,248.28	$10,248.28	$10,248.28
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,063.09 / $3,082.99	Professional		$893.00	$1,063.09	$3,082.99