Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.25 / $1,087.50 / $1,087.50	Facility		$906.25	$1,087.50	$1,087.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.75 / $616.25 / $616.25	Professional		$543.75	$616.25	$616.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $978.75 / $4,078.13 / $19,575.00	Facility		$978.75	$4,078.13	$19,575.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $978.75 / $119,998.80	Professional		$870.00	$978.75	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.05 / $870.00 / $2,174.82	Facility		$589.05	$870.00	$2,174.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,494.50 / $3,494.50 / $3,494.50	Professional		$3,494.50	$3,494.50	$3,494.50
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $326.25 / $978.75	Professional		$304.50	$326.25	$978.75