Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.00 / $1,187.50 / $1,425.00	Facility		$779.00	$1,187.50	$1,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $769.50 / $779.00	Professional		$712.50	$769.50	$779.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,282.50 / $5,343.75 / $25,650.00	Facility		$1,282.50	$5,343.75	$25,650.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,282.50 / $119,998.80	Professional		$1,140.00	$1,282.50	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.88 / $1,140.00 / $2,849.76	Facility		$771.88	$1,140.00	$2,849.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,364.45 / $4,579.00	Professional		$1,091.56	$1,364.45	$4,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $475.00 / $1,282.50	Professional		$399.00	$475.00	$1,282.50