Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,754.95 / $1,754.95	Facility		$1,400.00	$1,754.95	$1,754.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.24 / $1,754.95 / $2,239.69	Professional		$1,375.24	$1,754.95	$2,239.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,429.63 / $24,744.40 / $49,436.41	Facility		$5,429.63	$24,744.40	$49,436.41
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 $1,881.98 / $1,881.98 / $1,881.98	Facility		$1,881.98	$1,881.98	$1,881.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,243.59 / $7,243.59 / $7,243.59	Professional		$7,243.59	$7,243.59	$7,243.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,596.66 / $2,295.19 / $3,752.70	Professional		$1,596.66	$2,295.19	$3,752.70