Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.16 / $870.16 / $1,700.00	Facility		$870.16	$870.16	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.05 / $870.16 / $986.89	Professional		$656.05	$870.16	$986.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,027.77 / $12,673.55 / $28,388.75	Facility		$2,027.77	$12,673.55	$28,388.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.81 / $119,998.80 / $119,998.80	Professional		$872.81	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.25 / $1,039.25 / $1,039.25	Facility		$1,039.25	$1,039.25	$1,039.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,328.07 / $4,328.07 / $4,328.07	Professional		$4,328.07	$4,328.07	$4,328.07
United Facility/Professional Professional Modifier Low / Median / High Price $721.48 / $1,048.39 / $1,643.33	Professional		$721.48	$1,048.39	$1,643.33