Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,779.47 / $1,779.47	Facility		$1,400.00	$1,779.47	$1,779.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,394.48 / $1,779.47 / $2,233.76	Professional		$1,394.48	$1,779.47	$2,233.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,274.69 / $27,778.59 / $54,903.55	Facility		$6,274.69	$27,778.59	$54,903.55
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 $2,010.36 / $2,010.36 / $2,010.36	Facility		$2,010.36	$2,010.36	$2,010.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,370.79 / $8,370.79 / $8,370.79	Professional		$8,370.79	$8,370.79	$8,370.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.02 / $2,484.64 / $3,840.83	Professional		$1,416.02	$2,484.64	$3,840.83