Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,075.00 / $4,687.50 / $5,625.00	Facility		$3,075.00	$4,687.50	$5,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,812.50 / $3,075.00 / $3,187.50	Professional		$2,812.50	$3,075.00	$3,187.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,125.00 / $5,625.00 / $6,562.50	Facility		$4,125.00	$5,625.00	$6,562.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,062.50	Professional		$4,500.00	$4,500.00	$5,062.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,046.88 / $4,500.00 / $11,249.06	Facility		$3,046.88	$4,500.00	$11,249.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18,075.00 / $18,075.00 / $18,075.00	Professional		$18,075.00	$18,075.00	$18,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.53 / $1,460.15 / $4,687.50	Professional		$1,226.53	$1,460.15	$4,687.50