Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.10 / $1,063.10 / $3,500.00	Facility		$1,063.10	$1,063.10	$3,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.09 / $1,085.53 / $1,205.68	Professional		$833.09	$1,085.53	$1,205.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,953.70 / $18,018.16 / $35,997.89	Facility		$3,953.70	$18,018.16	$35,997.89
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 $1,266.13 / $1,266.13 / $1,266.13	Facility		$1,266.13	$1,266.13	$1,266.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,274.43 / $5,274.43 / $5,274.43	Professional		$5,274.43	$5,274.43	$5,274.43
United Facility/Professional Professional Modifier Low / Median / High Price $891.04 / $1,409.03 / $2,089.73	Professional		$891.04	$1,409.03	$2,089.73