Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,114.91 / $3,050.00	Facility		$1,400.00	$2,114.91	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,002.85 / $2,322.27 / $2,692.07	Professional		$2,002.85	$2,322.27	$2,692.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,278.75 / $32,787.44 / $68,853.64	Facility		$3,278.75	$32,787.44	$68,853.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,116.88 / $119,998.80 / $119,998.80	Professional		$2,116.88	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,520.26 / $2,520.26 / $2,520.26	Facility		$2,520.26	$2,520.26	$2,520.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,495.89 / $10,495.89 / $10,495.89	Professional		$10,495.89	$10,495.89	$10,495.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,772.59 / $2,763.02 / $3,994.04	Professional		$1,772.59	$2,763.02	$3,994.04