Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,300.00 / $6,024.87	Facility		$1,400.00	$2,300.00	$6,024.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,721.42 / $6,024.87 / $10,301.44	Professional		$4,721.42	$6,024.87	$10,301.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,924.43 / $58,900.41 / $117,675.80	Facility		$12,924.43	$58,900.41	$117,675.80
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 $6,919.51 / $6,919.51 / $6,919.51	Facility		$6,919.51	$6,919.51	$6,919.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34,443.67 / $34,443.67 / $34,443.67	Professional		$34,443.67	$34,443.67	$34,443.67
United Facility/Professional Professional Modifier Low / Median / High Price $8,077.14 / $13,199.20 / $19,658.40	Professional		$8,077.14	$13,199.20	$19,658.40