Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.70 / $3,043.75 / $3,652.50	Facility		$1,996.70	$3,043.75	$3,652.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,826.25 / $1,996.70 / $2,069.75	Professional		$1,826.25	$1,996.70	$2,069.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,287.25 / $13,696.88 / $65,745.00	Facility		$3,287.25	$13,696.88	$65,745.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,922.00 / $3,287.25 / $119,998.80	Professional		$2,922.00	$3,287.25	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,978.44 / $2,374.13 / $2,922.00	Facility		$1,978.44	$2,374.13	$2,922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,736.70 / $11,736.70 / $11,736.70	Professional		$11,736.70	$11,736.70	$11,736.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,217.50 / $3,530.75	Professional		$1,022.70	$1,217.50	$3,530.75