Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.17 / $2,375.25 / $2,850.30	Facility		$1,558.17	$2,375.25	$2,850.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.15 / $1,558.17 / $1,615.17	Professional		$1,425.15	$1,558.17	$1,615.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,565.27 / $10,688.63 / $51,305.40	Facility		$2,565.27	$10,688.63	$51,305.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,280.23 / $2,565.27 / $119,998.80	Professional		$2,280.23	$2,565.27	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,543.91 / $1,852.70 / $2,280.23	Facility		$1,543.91	$1,852.70	$2,280.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,158.95 / $9,158.95 / $9,158.95	Professional		$9,158.95	$9,158.95	$9,158.95
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $950.10 / $2,755.29	Professional		$798.08	$950.10	$2,755.29