Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,184.85 / $3,050.00	Facility		$1,400.00	$2,184.85	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.73 / $2,398.71 / $2,781.11	Professional		$2,068.73	$2,398.71	$2,781.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,386.36 / $33,863.55 / $71,113.45	Facility		$3,386.36	$33,863.55	$71,113.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,186.36 / $119,998.80 / $119,998.80	Professional		$2,186.36	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,604.13 / $2,604.13 / $2,604.13	Facility		$2,604.13	$2,604.13	$2,604.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,842.01 / $10,842.01 / $10,842.01	Professional		$10,842.01	$10,842.01	$10,842.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,831.22 / $2,923.10 / $3,993.06	Professional		$1,831.22	$2,923.10	$3,993.06