Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Facility		$1,908.26	$1,908.26	$1,908.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $2,001.40	Professional		$1,908.26	$1,908.26	$2,001.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $825.66 / $8,256.60 / $12,384.90	Facility		$825.66	$8,256.60	$12,384.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,007.20 / $9,007.20 / $9,007.20	Professional		$9,007.20	$9,007.20	$9,007.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60