Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $750.00 / $900.00	Facility		$492.00	$750.00	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $492.00 / $510.00	Professional		$450.00	$492.00	$510.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $3,375.00 / $16,200.00	Facility		$810.00	$3,375.00	$16,200.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $810.00 / $119,998.80	Professional		$720.00	$810.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $720.00 / $1,799.85	Facility		$487.50	$720.00	$1,799.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,892.00 / $2,892.00 / $2,892.00	Professional		$2,892.00	$2,892.00	$2,892.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $150.68 / $436.96	Professional		$126.57	$150.68	$436.96