Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.96 / $1,387.96 / $1,600.00	Facility		$1,387.96	$1,387.96	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.68 / $1,412.62 / $1,611.75	Professional		$1,087.68	$1,412.62	$1,611.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,184.68 / $24,483.19 / $50,352.12	Facility		$5,184.68	$24,483.19	$50,352.12
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 $1,647.62 / $1,647.62 / $1,647.62	Facility		$1,647.62	$1,647.62	$1,647.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,860.07 / $6,860.07 / $6,860.07	Professional		$6,860.07	$6,860.07	$6,860.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.22 / $1,810.88 / $3,099.17	Professional		$1,145.22	$1,810.88	$3,099.17