Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $2,500.00 / $3,000.00	Facility		$1,640.00	$2,500.00	$3,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,640.00 / $1,700.00	Professional		$1,500.00	$1,640.00	$1,700.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,700.00 / $3,300.00	Facility		$2,000.00	$2,700.00	$3,300.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,700.00 / $2,700.00	Professional		$2,000.00	$2,700.00	$2,700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,625.00 / $4,631.74 / $5,999.50	Facility		$1,625.00	$4,631.74	$5,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,640.00 / $9,640.00 / $9,640.00	Professional		$9,640.00	$9,640.00	$9,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,000.00 / $2,900.00	Professional		$840.00	$1,000.00	$2,900.00