Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.23 / $1,335.23 / $1,400.00	Facility		$1,335.23	$1,335.23	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,046.38 / $1,386.61 / $1,573.11	Professional		$1,046.38	$1,386.61	$1,573.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,048.71 / $23,008.46 / $45,967.96	Facility		$5,048.71	$23,008.46	$45,967.96
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 $1,617.26 / $1,617.26 / $1,617.26	Facility		$1,617.26	$1,617.26	$1,617.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,735.32 / $6,735.32 / $6,735.32	Professional		$6,735.32	$6,735.32	$6,735.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,140.01 / $1,840.63 / $2,705.20	Professional		$1,140.01	$1,840.63	$2,705.20