Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,723.11 / $1,723.11	Facility		$1,400.00	$1,723.11	$1,723.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.32 / $1,723.11 / $1,892.13	Professional		$1,350.32	$1,723.11	$1,892.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,867.00 / $31,294.93 / $62,524.36	Facility		$6,867.00	$31,294.93	$62,524.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119,998.80 / $119,998.80 / $119,998.80	Professional		$119,998.80	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,076.25 / $2,076.25 / $2,076.25	Facility		$2,076.25	$2,076.25	$2,076.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,646.79 / $8,646.79 / $8,646.79	Professional		$8,646.79	$8,646.79	$8,646.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.61 / $1,625.49 / $2,659.90	Professional		$1,097.61	$1,625.49	$2,659.90