Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,271.25 / $4,271.25 / $4,271.25	Facility		$4,271.25	$4,271.25	$4,271.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,736.53 / $3,535.73 / $4,271.25	Professional		$2,736.53	$3,535.73	$4,271.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.08 / $734.78 / $5,158.12	Facility		$382.08	$734.78	$5,158.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.08 / $411.47 / $5,554.90	Professional		$382.08	$411.47	$5,554.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $7,154.40 / $7,154.40	Facility		$200.00	$7,154.40	$7,154.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $462.00 / $18,968.05	Professional		$200.00	$462.00	$18,968.05
United Facility/Professional Professional Modifier Low / Median / High Price $2,257.67 / $3,429.19 / $6,807.73	Professional		$2,257.67	$3,429.19	$6,807.73