Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,665.12 / $1,665.12	Facility		$1,400.00	$1,665.12	$1,665.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.84 / $1,665.12 / $2,038.06	Professional		$1,304.84	$1,665.12	$2,038.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,284.43 / $19,525.41 / $39,008.98	Facility		$4,284.43	$19,525.41	$39,008.98
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 $1,722.49 / $1,722.49 / $1,722.49	Facility		$1,722.49	$1,722.49	$1,722.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,173.41 / $7,173.41 / $7,173.41	Professional		$7,173.41	$7,173.41	$7,173.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.16 / $2,381.69 / $3,393.66	Professional		$1,506.16	$2,381.69	$3,393.66