Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,400.00 / $3,431.95	Facility		$1,200.00	$1,400.00	$3,431.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,689.45 / $3,431.95 / $3,892.26	Professional		$2,689.45	$3,431.95	$3,892.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,796.93 / $43,371.84 / $89,200.75	Facility		$9,796.93	$43,371.84	$89,200.75
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 $3,445.70 / $3,445.70 / $3,445.70	Facility		$3,445.70	$3,445.70	$3,445.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,069.96 / $13,069.96 / $13,069.96	Professional		$13,069.96	$13,069.96	$13,069.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,542.60 / $4,542.60 / $4,542.60	Facility		$4,542.60	$4,542.60	$4,542.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,876.46 / $4,591.60 / $6,745.95	Professional		$2,876.46	$4,591.60	$6,745.95