Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.53 / $1,163.53 / $1,400.00	Facility		$1,163.53	$1,163.53	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.80 / $1,184.40 / $1,330.92	Professional		$911.80	$1,184.40	$1,330.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,775.51 / $17,828.80 / $36,667.90	Facility		$3,775.51	$17,828.80	$36,667.90
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 $1,373.00 / $1,373.00 / $1,373.00	Facility		$1,373.00	$1,373.00	$1,373.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,751.51 / $5,751.51 / $5,751.51	Professional		$5,751.51	$5,751.51	$5,751.51
United Facility/Professional Professional Modifier Low / Median / High Price $974.17 / $1,554.88 / $2,649.71	Professional		$974.17	$1,554.88	$2,649.71