Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.07 / $4,375.00 / $5,250.00	Facility		$2,394.07	$4,375.00	$5,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.69 / $2,394.07 / $2,481.66	Professional		$2,189.69	$2,394.07	$2,481.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,725.00 / $19,687.50 / $94,500.00	Facility		$4,725.00	$19,687.50	$94,500.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,725.00 / $119,998.80	Professional		$4,200.00	$4,725.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,025.00 / $5,434.18 / $8,758.07	Facility		$4,025.00	$5,434.18	$8,758.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,870.00 / $16,870.00 / $16,870.00	Professional		$16,870.00	$16,870.00	$16,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,459.80 / $4,233.42	Professional		$1,226.23	$1,459.80	$4,233.42