Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,080.00 / $1,080.00	Facility		$900.00	$1,080.00	$1,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $540.00	Professional		$540.00	$540.00	$540.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $972.00 / $4,050.00 / $19,440.00	Facility		$972.00	$4,050.00	$19,440.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $972.00 / $119,998.80	Professional		$864.00	$972.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $864.00 / $2,159.82	Facility		$585.00	$864.00	$2,159.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $1,034.05 / $3,470.40	Professional		$827.24	$1,034.05	$3,470.40
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $324.00 / $972.00	Professional		$302.39	$324.00	$972.00