Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.20 / $950.00 / $1,140.00	Facility		$623.20	$950.00	$1,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $615.60 / $623.20	Professional		$570.00	$615.60	$623.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $4,275.00 / $20,520.00	Facility		$1,026.00	$4,275.00	$20,520.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,026.00 / $119,998.80	Professional		$912.00	$1,026.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $912.00 / $2,279.81	Facility		$617.50	$912.00	$2,279.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $1,091.86 / $3,663.20	Professional		$873.50	$1,091.86	$3,663.20
United Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $456.00 / $456.00	Facility		$456.00	$456.00	$456.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $342.00 / $760.00	Professional		$319.20	$342.00	$760.00