Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,549.43 / $20,549.43 / $20,549.43	Facility		$20,549.43	$20,549.43	$20,549.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,549.43 / $20,549.43 / $22,101.93	Professional		$20,549.43	$20,549.43	$22,101.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27,239.69 / $54,027.44 / $73,337.62	Facility		$27,239.69	$54,027.44	$73,337.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27,239.69 / $29,335.05 / $47,050.10	Professional		$27,239.69	$29,335.05	$47,050.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,391.12 / $30,391.12 / $49,782.75	Facility		$30,391.12	$30,391.12	$49,782.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $30,391.12 / $208,654.67	Professional		$22,185.52	$30,391.12	$208,654.67
United Facility/Professional Professional Modifier Low / Median / High Price $20,907.05 / $27,324.50 / $34,845.08	Professional		$20,907.05	$27,324.50	$34,845.08