Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,464.86 / $1,464.86	Facility		$1,400.00	$1,464.86	$1,464.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.94 / $1,492.86 / $2,083.54	Professional		$1,147.94	$1,492.86	$2,083.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,086.08 / $23,178.75 / $46,308.47	Facility		$5,086.08	$23,178.75	$46,308.47
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 $1,730.11 / $1,730.11 / $1,730.11	Facility		$1,730.11	$1,730.11	$1,730.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,251.40 / $7,251.40 / $7,251.40	Professional		$7,251.40	$7,251.40	$7,251.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.00 / $2,189.17 / $3,490.92	Professional		$1,485.00	$2,189.17	$3,490.92