Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,522.24 / $1,600.00	Facility		$1,400.00	$1,522.24	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.97 / $1,522.24 / $1,667.93	Professional		$1,171.97	$1,522.24	$1,667.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,647.66 / $24,031.67 / $48,063.34	Facility		$3,647.66	$24,031.67	$48,063.34
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 $1,759.54 / $1,759.54 / $1,759.54	Facility		$1,759.54	$1,759.54	$1,759.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,327.80 / $7,327.80 / $7,327.80	Professional		$7,327.80	$7,327.80	$7,327.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.56 / $2,065.23 / $3,287.54	Professional		$1,305.56	$2,065.23	$3,287.54