Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,992.31 / $2,300.00	Facility		$1,400.00	$1,992.31	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,561.24 / $1,992.31 / $2,903.91	Professional		$1,561.24	$1,992.31	$2,903.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,574.00 / $29,103.63 / $59,854.73	Facility		$6,574.00	$29,103.63	$59,854.73
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 $2,251.84 / $2,251.84 / $2,251.84	Facility		$2,251.84	$2,251.84	$2,251.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,009.10 / $8,009.10 / $8,009.10	Professional		$8,009.10	$8,009.10	$8,009.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,989.23 / $2,837.08 / $4,653.17	Professional		$1,989.23	$2,837.08	$4,653.17