Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.46 / $1,014.55 / $1,014.55	Facility		$845.46	$1,014.55	$1,014.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Professional		$574.91	$574.91	$574.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $913.10 / $3,804.58 / $18,262.00	Facility		$913.10	$3,804.58	$18,262.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $811.64 / $913.10 / $119,998.80	Professional		$811.64	$913.10	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $811.64 / $2,028.94	Facility		$549.54	$811.64	$2,028.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,260.10 / $3,260.10 / $3,260.10	Professional		$3,260.10	$3,260.10	$3,260.10
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $338.19 / $1,224.50	Professional		$284.08	$338.19	$1,224.50