Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $937.50 / $1,125.00	Facility		$615.00	$937.50	$1,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $607.50 / $615.00	Professional		$562.50	$607.50	$615.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,012.50 / $4,218.75 / $20,250.00	Facility		$1,012.50	$4,218.75	$20,250.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,012.50 / $119,998.80	Professional		$900.00	$1,012.50	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.38 / $900.00 / $2,249.81	Facility		$609.38	$900.00	$2,249.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $1,077.41 / $3,615.00	Professional		$861.93	$1,077.41	$3,615.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $337.50 / $1,087.50	Professional		$315.00	$337.50	$1,087.50