Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.54 / $1,121.25 / $1,345.50	Facility		$735.54	$1,121.25	$1,345.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.75 / $726.57 / $735.54	Professional		$672.75	$726.57	$735.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,210.95 / $5,045.63 / $24,219.00	Facility		$1,210.95	$5,045.63	$24,219.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,210.95 / $119,998.80	Professional		$1,076.40	$1,210.95	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.81 / $1,076.40 / $2,690.78	Facility		$728.81	$1,076.40	$2,690.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,288.56 / $4,323.54	Professional		$1,030.84	$1,288.56	$4,323.54
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $448.50 / $1,300.65	Professional		$376.74	$448.50	$1,300.65